title: Diagnosis and Management of a Challenging Patient: Ureteroarterial Fistula.
abstract: While uncommon, ureteral arterial fistula (UAF) should be a differential diagnosis for persistent hematuria, as management involves coordinated treatment with a multidisciplinary team. Despite various diagnostic modalities available, accuracy in diagnosis remains a challenge. We present a patient with known UAF risk factors, including chronic ureteral stent, history of radiation, and vascular procedures. Despite multiple negative imaging studies, UAF was ultimately diagnosed and successfully managed by an endovascular approach, with resolution of her hematuria.
authors.affiliation: Department of Urology, Einstein Healthcare Network, Philadelphia, PA.
authors.forename: Lauren
authors.initials: L
authors.lastname: Rittenberg
authors.affiliation: Department of Urology, Einstein Healthcare Network, Philadelphia, PA. Electronic address: michaelnordsiek@gmail.com.
authors.forename: Michael
authors.initials: M
authors.lastname: Nordsiek
authors.affiliation: Department of Urology, Einstein Healthcare Network, Philadelphia, PA.
authors.forename: David
authors.initials: D
authors.lastname: Cahn
authors.affiliation: Department of Interventional Radiology, Einstein Healthcare Network, Philadelphia, PA.
authors.forename: Karl
authors.initials: K
authors.lastname: Zhang
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Einstein Healthcare Network, Philadelphia, PA.
authors.forename: Nyali
authors.initials: N
authors.lastname: Taylor
authors.affiliation: Department of Urology, Einstein Healthcare Network, Philadelphia, PA.
authors.forename: Phillip
authors.initials: P
authors.lastname: Ginsberg
mesh_terms: D000792:Angiography; D057510:Endovascular Procedures; D005260:Female; D006417:Hematuria / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D014515:Ureteral Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D014548:Urinary Fistula / Q000000981:diagnostic imaging* / Q000601:surgery; D014567:Urography; D016157:Vascular Fistula / Q000000981:diagnostic imaging* / Q000601:surgery