Abstract
A 55-year-old man presented with a massive hemorrhage from the ileal conduit of the left ureter. He had previously undergone a total pelvic exenteration with ileal conduit construction of the ureters due to rectal carcinoma. A right ureteroarterial fistula developed, and he underwent an excision of the right common iliac artery with a femorofemoral bypass and a right cutaneous ureterostomy. Seven months later, a pseudoaneurysm developed at the aortic stump, followed by an aorto-ileal-conduit fistula. The patient was treated successfully with endovascular stent grafting and has since showed a good recovery no sign of graft infection or a recurrence of hematuria at the 10-month follow-up.
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References
SJ Batter FJ McGovern RP Cambria (1996) ArticleTitleUreteroarterial fistula: case report and review of the literature Urology 48 481–9 Occurrence Handle8804509 Occurrence Handle10.1016/S0090-4295(96)00202-6 Occurrence Handle1:STN:280:DyaK28zpslKitw%3D%3D
SP Quillin MD Darcy D Picus (1994) ArticleTitleAngiographic evaluation and therapy of ureteroarterial fistulas AJR 162 873–8 Occurrence Handle8141010 Occurrence Handle1:STN:280:DyaK2c7ovFCitA%3D%3D
SE Georgopoulos DP Arvanitis P Tekerlekis A Chronopoulos A Konstakopoulos (2003) ArticleTitleRupture of an aortic anastomotic aneurysm into a ureter Urol Int 71 333–5 Occurrence Handle14512661 Occurrence Handle10.1159/000072692 Occurrence Handle1:STN:280:DC%2BD3svltFCntQ%3D%3D
M Holmes N Hung M Hunter (1998) ArticleTitleHematuria and death secondary to aortoureteric fistula Urology 52 720–2 Occurrence Handle9763104 Occurrence Handle10.1016/S0090-4295(98)00281-7 Occurrence Handle1:STN:280:DyaK1cvjsVSlug%3D%3D
T Ota Y Tsuji R Kawasaki T Taniguchi Y Morimoto Y Okita (2005) ArticleTitleEndovascular treatment of aortoureteric fistula J Endovasc Ther 12 411–3 Occurrence Handle15943520 Occurrence Handle10.1583/04-1496.1
SF Keller RE Barton WD Routh GM Gross (1990) ArticleTitleGross hematuria in two patients with ureteral-ileal conduits and double-J stents J Vasc Interv Radiol 1 69–79 Occurrence Handle2134038 Occurrence Handle1:STN:280:DyaK387ot1Cktg%3D%3D Occurrence Handle10.1016/S1051-0443(90)72505-5
EH Asham M Walsh M Adisenshiah (1999) ArticleTitleAn unusual case of haematuria treated by endoluminal repair Eur J Vasc Endovasc Surg 17 89–90 Occurrence Handle10071625 Occurrence Handle10.1053/ejvs.1998.0673 Occurrence Handle1:STN:280:DyaK1M7ntFSiuw%3D%3D
T Miyata N Ohara H Shigematsu T Konishi H Yamaguchi S Kazama et al. (1999) ArticleTitleEndovascular stent graft repair of aortopulmonary fistula J Vasc Surg 29 557–60 Occurrence Handle10069922 Occurrence Handle10.1016/S0741-5214(99)70286-7 Occurrence Handle1:STN:280:DyaK1M7mvFaltw%3D%3D
JH Yoo CT Lee YS Shim JW Chung H Ahn KW Kim (2001) ArticleTitleAortobronchial fistula presenting as recurrent hemoptysis and successfully treated with an endovascular stent graft Respiration 68 537–9 Occurrence Handle11694820 Occurrence Handle10.1159/000050565 Occurrence Handle1:STN:280:DC%2BD3Mnkt1Sgsg%3D%3D
JA Gonzalez-Fajardo V Gutierrez M Martin-Pedrosa S Carrera C Vaquero (2005) ArticleTitleEndovascular repair in the presence of aortic infection Ann Vasc Surg 19 94–8 Occurrence Handle15714375 Occurrence Handle10.1007/s10016-004-0144-0
TAM Chuter GC Lukaszewicz LM Reilly RK Kerlan R Faruqi R Sawhney et al. (2000) ArticleTitleEndovascular repair of a presumed aortoenteric fistula: late failure due to recurrent infection J Endovasc Ther 7 240–4 Occurrence Handle10883963 Occurrence Handle10.1583/1545-1550(2000)007<0240:EROAPA>2.3.CO;2 Occurrence Handle1:STN:280:DC%2BD3M%2Fhs1ymuw%3D%3D
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Ishibashi, H., Ohta, T., Sugimoto, I. et al. Successful Treatment of an Aorto-Ileal-Conduit Fistula with an Endovascular Stent Graft: Report of a Case. Surg Today 37, 305–307 (2007). https://doi.org/10.1007/s00595-006-3402-7
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DOI: https://doi.org/10.1007/s00595-006-3402-7