title: Endovascular repair of a nearly fatal iliac artery injury after endoureterotomy.
abstract: Endourological methods are attractive procedures for the treatment of ureterointestinal stenosis. However, serious complications may occur. This article reports the case of an endovascular repair of a nearly fatal ruptured common iliac artery pseudoaneurysm after endoureterotomy. A 62-year-old man submitted to bilateral ureteroileostomy developed left ureteroileal anastomosis stricture. Endourological treatment with the Acucise® cutting balloon was performed and 4 days after the procedure the patient presented with massive bleeding through the ileal stoma and hypovolemic shock. Arteriography identified the source of bleeding as a pseudoaneurysm of the left common iliac artery. Repair with an endovascular graft stopped the bleeding immediately. Endovascular treatment of vascular injury after endoureterotomy should be considered.
authors: Division of Urology, Department of Surgery.
authors: Roberto Iglesias
authors: RI
authors: Lopes
authors: Fábio César Miranda
authors: FC
authors: Torricelli
authors: Cristiano Mendes
authors: CM
authors: Gomes
authors: Francisco
authors: F
authors: Carnevale
authors: Homero
authors: H
authors: Bruschini
authors: Miguel
authors: M
authors: Srougi
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D000792:Angiography; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014517:Ureteral Obstruction / Q000601:surgery; D018666:Ureteroscopy / Q000009:adverse effects*; D058017:Vascular Grafting / Q000379:methods