title: Ureteroarterial fistula.
abstract: The authors intended to perform a comprehensive review of the literature pertaining to ureteroarterial fistulae and apply the findings to a case. A comprehensive literature search was performed using the Keywords: ureter, artery and fistula. The available articles printed in or translated to English were analysed for overall trends. The results were then compared with the case of a patient (index patient). Review of the literature reveals that 57% of all ureteroarterial fistulae form in women at an average age of 58. The most common presenting complaint is haematuria. There appears to be a shift in management from primarily open surgical to primarily angiographic. The known risk factors are: vascular pathology, malignancy, prior radiation and indwelling stents. While 98% of all cases have at least one known risk factor, only 41% had two or more. We report an additional case of this rare condition, and review the present literature.
authors.affiliation: Department of Obstetrics and Gynecology, College of Medicine, University of South Florida, Tampa, FL, USA.
authors.forename: M C
authors.initials: MC
authors.lastname: McCullough
authors.forename: E E
authors.initials: EE
authors.lastname: Oh
authors.forename: J A
authors.initials: JA
authors.lastname: Lucci
authors.forename: E A
authors.initials: EA
authors.lastname: Alvarez
mesh_terms: D016889:Endometrial Neoplasms / Q000150:complications; D005260:Female; D006417:Hematuria; D006801:Humans; D007083:Iliac Artery; D008875:Middle Aged; D015607:Stents; D014515:Ureteral Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D014548:Urinary Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D002583:Uterine Cervical Neoplasms / Q000150:complications / Q000628:therapy; D014592:Uterine Hemorrhage; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy