Abberant sex habits leading to acute limb ischemia and hematuria.
We report a case of a 42 year-old man suffering from an acute limb ischemia. Upon urokinase treatment he developed gross hematuria. Finally, CT scanning revealed a self-inserted foreign body not only causing thrombosis of the external iliac artery, but also forming an arteriovesical fistula. This case emphasises the importance of detailed history taking and thorough further investigation in recurrent macroscopic hematuria in a patient. Massive bleeding from the bladder should alert the doctor for a rare, but life-threatening arteriovesical fistula.
Toorop
R J
RJ
Department of Surgery, Máxima Medical Centre, Veldhoven, The Netherlands. r.toorop@mmc.nl
Bender
M H M
MH
Charbon
J A
JA
Pasmans
H
H
Scheltinga
M R M
MR
D000328:Adult; D017541:Aneurysm, False / Q000209:etiology; D005547:Foreign Bodies / Q000150:complications* / Q000000981:diagnostic imaging; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D007083:Iliac Artery / Q000293:injuries; D007511:Ischemia / Q000209:etiology*; D007866:Leg / Q000098:blood supply*; D008297:Male; D011859:Radiography; D012008:Recurrence; D012725:Sexual Behavior; D001743:Urinary Bladder; D001747:Urinary Bladder Fistula / Q000150:complications / Q000209:etiology*; D016157:Vascular Fistula / Q000150:complications / Q000209:etiology*