Primary uretero-iliac fistula: the unusual source of haematuria.
Uretero-iliac fistula is a rare cause of frank haematuria. The aetiology of such fistula is commonly iatrogenic. We present a unique case of a primary aorto-iliac fistula in the absence of an aneurysm or arteriovenous malformation. The diagnosis was demonstrated by ureteroscopy and real-time retrograde ureterogram. Multiple arterial embolisation of the fistula had failed, and the patient underwent a successful ureterolysis and ligation of fistula. We demonstrate the diagnostic difficulties and treatment dilemma of such rare cause of haematuria.
Khong
Tak Loon
TL
Department of Urology, Charing Cross Hospital, Fulham Palace Road, London, W6 8RF, United Kingdom. tak_khong@hotmail.com
Winstanley
Virginia
V
Lee
George
G
Christmas
Tim
T
Ramsay
Jonathan
J
D000368:Aged; D003251:Constriction, Pathologic; D004621:Embolization, Therapeutic; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D007083:Iliac Artery; D008026:Ligation; D008297:Male; D017211:Treatment Failure; D014513:Ureter / Q000473:pathology; D014548:Urinary Fistula / Q000150:complications* / Q000628:therapy; D016157:Vascular Fistula / Q000150:complications* / Q000628:therapy