Ureteroarterial fistula: a rare cause of hematuria managed in the cardiac cath lab.
Ureteroarterial fistulae (UAFs) are rare but potentially life-threatening entities that require a high degree of suspicion for diagnosis followed by prompt intervention. This case report describes the successful management of the oldest woman to-date presenting with intermittent hematuria, secondary to a fistula between the ureter and internal iliac artery, which was subsequently resolved by coil embolization. Morbidity and mortality associated with UAFs can be decreased by increasing awareness of this rare but fatal complication. Our review of the medical literature indicates that this is the oldest woman reported to have developed a UAF after radiation therapy and chronic ureteral stent exchange, as well as the first reported management of a UAF by interventional cardiologists.
Pappy
Reji
R
Oklahoma University Health Sciences Center, Cardiovascular Section, 920 Stanton L. Young Blvd., Room WP 3120, Oklahoma City, OK, 73104, USA. reji-pappy@ouhsc.edu
Abu-Fadel
Mazen
M
Hennebry
Thomas
T
D000369:Aged, 80 and over; D004621:Embolization, Therapeutic; D005260:Female; D006417:Hematuria / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging*; D007755:Laboratories, Hospital; D011859:Radiography; D014513:Ureter / Q000000981:diagnostic imaging*; D014548:Urinary Fistula / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D016157:Vascular Fistula / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy