title: [Uretero-external iliac artery fistula with longterm indwelling of ureteral stent].
abstract: We report a case of a patient with a fistula between the right ureter and external iliac artery. The patient was a 75-year-old woman who had undergone abdominal radical hysterectomy for uterine cancer, and whole pelvis radiotherapy for right external iliac lymph node metastasis. Her post-operative course was complicated by hydronephrosis of the right kidney, which was treated by the insertion of a double-J stent. While removing the frequently obstructed double-J stent after percutaneous nephrostomy, arterial hemorrhage occurred from the external urethral meatus. Computed tomographic scan demonstrated right ureteral external iliac artery fistula formation located adjacent to the pseudoaneurysm. The patient was treated successfully with endovascular stent grafting and has showed no episode of hematuria since then.
authors.affiliation: The Department of Urology, Kinki University Faculty of Medicine.
authors.forename: Mamoru
authors.initials: M
authors.lastname: Hashimoto
authors.affiliation: The Department of Urology, Kinki University Faculty of Medicine.
authors.forename: Nobutaka
authors.initials: N
authors.lastname: Shimizu
authors.affiliation: The Department of Urology, Kinki University Faculty of Medicine.
authors.forename: Shingo
authors.initials: S
authors.lastname: Toyoda
authors.affiliation: The Department of Urology, Kinki University Faculty of Medicine.
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Saito
authors.affiliation: The Department of Urology, Kinki University Faculty of Medicine.
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Yamamoto
authors.affiliation: The Department of Urology, Kinki University Faculty of Medicine.
authors.forename: Takafumi
authors.initials: T
authors.lastname: Minami
authors.affiliation: The Department of Urology, Kinki University Faculty of Medicine.
authors.forename: Taiji
authors.initials: T
authors.lastname: Hayashi
authors.affiliation: The Department of Urology, Kinki University Faculty of Medicine.
authors.forename: Hidenori
authors.initials: H
authors.lastname: Tsuji
authors.affiliation: The Department of Urology, Kinki University Faculty of Medicine.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Nozawa
authors.affiliation: The Department of Urology, Kinki University Faculty of Medicine.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Yoshimura
authors.affiliation: The Department of Urology, Kinki University Faculty of Medicine.
authors.forename: Tokumi
authors.initials: T
authors.lastname: Ishii
authors.affiliation: The Department of Urology, Kinki University Faculty of Medicine.
authors.forename: Hirotsugu
authors.initials: H
authors.lastname: Uemura
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000628:therapy; D007083:Iliac Artery; D015607:Stents / Q000009:adverse effects*; D014513:Ureter; D014515:Ureteral Diseases / Q000209:etiology*; D014548:Urinary Fistula / Q000209:etiology*; D016157:Vascular Fistula / Q000209:etiology*