title: Successful management by provocative angiography and endovascular stent of Ureteroarterial fistula in a patient with a long-term indwelling ureteral stent.
abstract: We present the clinical course of a ureteroiliac arterial fistula in a patient who had been managed by ureteral stenting for 8 years for severe ureteral stricture after abdominoperineal resection with pelvic irradiation for advanced rectal cancer. A multidisciplinary team approach including provocative angiography and an endovascular stent saved the life of the patient. Ureteroarterial fistula is a rare complication of a long-term indwelling ureteral stent that is potentially fatal unless a prompt diagnosis and adequate therapy are provided. Heightened awareness and a high index of suspicion for this condition are required to make an early diagnosis.
authors.affiliation: Department of Urology and Andrology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.
authors.forename: Kazumitsu
authors.initials: K
authors.lastname: Yamasaki
authors.forename: Kei
authors.initials: K
authors.lastname: Omori
authors.forename: Ei-Ichiro
authors.initials: E
authors.lastname: Takaoka
authors.forename: Noritoshi
authors.initials: N
authors.lastname: Sekido
authors.forename: Masanari
authors.initials: M
authors.lastname: Shigai
authors.forename: Kensaku
authors.initials: K
authors.lastname: Mori
authors.forename: Manabu
authors.initials: M
authors.lastname: Minami
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Watanabe
authors.forename: Toru
authors.initials: T
authors.lastname: Shimazui
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Akaza
mesh_terms: D000368:Aged; D000792:Angiography; D006801:Humans; D007083:Iliac Artery; D012004:Rectal Neoplasms / Q000150:complications / Q000628:therapy; D015607:Stents; D014548:Urinary Fistula / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D016157:Vascular Fistula / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*