Unique Presentation of Hematuria in a Patient with Arterioureteral Fistula.
Active extravasation via an arterioureteral fistula (AUF) is a rare and life-threatening emergency that requires efficient algorithms to save a patient's life. Unfortunately, physicians may not be aware of its presence until the patient is in extremis. An AUF typically develops in a patient with multiple pelvic and aortoiliac vascular surgeries, prior radiation therapy for pelvic tumors, and chronic indwelling ureteral stents. We present a patient with a left internal iliac arterial-ureteral fistula and describe the evolution of management and treatment algorithms based on review of the literature.
Department of Radiology, University of Louisville Hospital, Louisville, KY 40202, USA.
Tomas
0000-0003-4635-7518
T
Mujo
Department of Radiology, University of Louisville Hospital, Louisville, KY 40202, USA.
Erin
E
Priddy
Department of Radiology, University of Louisville Hospital, Louisville, KY 40202, USA.
John J
JJ
Harris
University of Louisville School of Medicine, Louisville, KY 40202, USA.
Eric
E
Poulos
Department of Radiology, University of Louisville Hospital, Louisville, KY 40202, USA.
Mahmoud
0000-0002-3389-1650
M
Samman