title: Massive hematuria and shock caused by ilio-ureteral fistula in a patient with an isolated internal iliac artery aneurysm.
abstract: An emergent operation was performed on a 73-year-old woman with massive hematuria and serious shock. A computed tomography (CT) revealed that the cause of the shock was hemorrhage from an aneurysm into the ureter, with resultant massive hematuria. During surgery, we observed that the ureter was encased into the wall of the aneurysm, with exposure of the pre-positioned ureteric stent inside the aneurysmal space. Reconstruction of the ureter was performed by wrapping the tissues with the ureteric stent inside. Postoperative recovery was uneventful, and CT angiography showed complete exclusion of the right internal iliac artery with the in situ ureteric stent.
authors: Department of Cardiovascular Surgery, Matsue Red Cross Hospital, Matsue, Shimane, Japan.
authors: Takeshi
authors: T
authors: Soeda
authors: Yuhei
authors: Y
authors: Saito
authors: Shuji
authors: S
authors: Setozaki
authors: Hisao
authors: H
authors: Harada
keywords: iliac artery aneurysm; massive hematuria; ureter
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