Successful management by provocative angiography and endovascular stent of Ureteroarterial fistula in a patient with a long-term indwelling ureteral stent.
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.
Yamasaki
Kazumitsu
K
Department of Urology and Andrology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.
Omori
Kei
K
Takaoka
Ei-Ichiro
E
Sekido
Noritoshi
N
Shigai
Masanari
M
Mori
Kensaku
K
Minami
Manabu
M
Watanabe
Yutaka
Y
Shimazui
Toru
T
Akaza
Hideyuki
H
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*