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Primary uretero-iliac fistula: the unusual source of haematuria

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Abstract

Uretero-iliac fistula is a rare cause of frank haematuria. The aetiology of such fistula is commonly iatrogenic. We present a unique case of a primary aorto-iliac fistula in the absence of an aneurysm or arteriovenous malformation. The diagnosis was demonstrated by ureteroscopy and real-time retrograde ureterogram. Multiple arterial embolisation of the fistula had failed, and the patient underwent a successful ureterolysis and ligation of fistula. We demonstrate the diagnostic difficulties and treatment dilemma of such rare cause of haematuria.

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Correspondence to Tak Loon Khong.

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Khong, T.L., Winstanley, V., Lee, G. et al. Primary uretero-iliac fistula: the unusual source of haematuria. Int Urol Nephrol 39, 751–753 (2007). https://doi.org/10.1007/s11255-006-9130-5

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Keywords

  • Haematuria
  • Uretero-iliac fistula
  • Ureterolysis