Successful treatment of an aorto-ileal-conduit fistula with an endovascular stent graft: report of a case.
A 55-year-old man presented with a massive hemorrhage from the ileal conduit of the left ureter. He had previously undergone a total pelvic exenteration with ileal conduit construction of the ureters due to rectal carcinoma. A right ureteroarterial fistula developed, and he underwent an excision of the right common iliac artery with a femorofemoral bypass and a right cutaneous ureterostomy. Seven months later, a pseudoaneurysm developed at the aortic stump, followed by an aorto-ileal-conduit fistula. The patient was treated successfully with endovascular stent grafting and has since showed a good recovery no sign of graft infection or a recurrence of hematuria at the 10-month follow-up.
Ishibashi
Hiroyuki
H
Department of Vascular Surgery, Aichi Medical University, Nagakute, Aichi, 480-1195, Japan.
Ohta
Takashi
T
Sugimoto
Ikuo
I
Kawanishi
Jun
J
Yamada
Tetsuya
T
Ishiguchi
Tsuneo
T
Io
Akinori
A
D001012:Aorta, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D007083:Iliac Artery; D008297:Male; D008875:Middle Aged; D015607:Stents; D014515:Ureteral Diseases / Q000601:surgery*; D014548:Urinary Fistula / Q000601:surgery*; D016157:Vascular Fistula / Q000209:etiology / Q000601:surgery*