Asynchronous Bilateral Ureteric-Arterial Fistula: Diagnosis and Treatment. (3rd May 2021)

• Record Type: Journal Article
• Authors: Pepe, Pietro; D'Arrigo, Letterio; Patane', Domenico; Pepe, Ludovica; Candiano, Giuseppe; Pennisi, Michele
• Other Names: Goel Apul Academic Editor.
• Is Part Of: Case reports in urology. Volume 2021(2021)
• Publication Date: 2021-05-03
• Subjects: Urology -- Periodicals; Urology -- Case studies -- Periodicals; Genitourinary organs -- Diseases -- Periodicals; Urologic Diseases; Genitourinary organs -- Diseases; Urology; Periodicals; Case studies; Periodicals; 616.6005
• DOI: 10.1155/2021/5590432
• Languages: English
• ISSNs: 2090-696X

Abstract

Abstract : A 48-year-old woman submitted to anterior exenteration plus ileal-cutaneous conduit for metastatic cervical cancer during the change of the ureteral stent showed massive bleeding in the left ureter. A selective intra-arterial angiography showed a fistula between the ureter and the left common iliac artery that the interventional radiologist quickly repaired by inserting a vascular endoprosthesis. Six months later, gross hematuria secondary to right ureter-iliac fistula occurred again and a second endoprosthesis was inserted. Asynchronous bilateral ureteric stent-related vascular fistula is an uncommon scenario, but it should be suspected in the presence of hematuria following ureteral stent replacement.