تقرير
Ureteroiliac Fistula: Bleeding of Unknown Origin-Case Report and Review of the Literature.
| العنوان: | Ureteroiliac Fistula: Bleeding of Unknown Origin-Case Report and Review of the Literature. |
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| المؤلفون: | Muñoz Guillermo V; Urology Department, Hospital Universitario Morales Meseguer, Murcia, Spain., Carrillo George C; Urology Department, Hospital Universitario Morales Meseguer, Murcia, Spain., Jiménez Peralta D; Urology Department, Hospital Universitario Morales Meseguer, Murcia, Spain., Pietricica BN; Urology Department, Hospital Universitario Morales Meseguer, Murcia, Spain., Fernández Aparicio T; Urology Department, Hospital Universitario Morales Meseguer, Murcia, Spain. |
| المصدر: | Journal of endourology case reports [J Endourol Case Rep] 2020 Dec 29; Vol. 6 (4), pp. 413-415. Date of Electronic Publication: 2020 Dec 29 (Print Publication: 2020). |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 101684114 Publication Model: eCollection Cited Medium: Print ISSN: 2379-9889 (Print) Linking ISSN: 23799889 NLM ISO Abbreviation: J Endourol Case Rep Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: New Rochelle, NY : Mary Ann Liebert, Inc., [2015]-[2020] |
| مستخلص: | Background: Ureteroiliac fistula is a rare cause of gross hematuria and lateralizing flank pain. Risk factors include previous pelvic surgery, pelvic radiotherapy, or chronic ureteral stentings. Diagnosis is challenging and requires arteriography and ureteroscopy. Management ranges from open surgery to minimally invasive means such as the use of an endovascular stent. Case Report: A 62-year-old man with postradical cystoprostatectomy and cutaneous ureterostomy presented an intermittent gross hematuria with anemia that required blood transfusions. Some CT arteriographies were performed but none of them could identify the bleeding origin. Therefore, a flexible ureteroscopy was performed that showed a left ureteroiliac fistula. Subsequently, an endovascular stent was placed in the left common iliac without complications. Conclusion: The ureteroiliac fistula is a life-threatening condition. CT arteriography or ureteroscopy might help in the diagnosis but the sensitivity is ∼64%. Arteriography with endovascular stenting is a viable and safe option. However, because of its rarity, long-term durable benefits still need to be documented. Competing Interests: No competing financial interests exist. (Copyright 2020, Mary Ann Liebert, Inc., publishers.) |
| References: | J Vasc Surg. 1999 Dec;30(6):1146-9. (PMID: 10587401) Urology. 2005 Nov;66(5):990-4. (PMID: 16286109) Case Rep Urol. 2015;2015:826760. (PMID: 26075136) Urology. 1996 Sep;48(3):481-9. (PMID: 8804509) |
| فهرسة مساهمة: | Keywords: cistoprostatectomy; fistula; ureteroiliac; ureteroscopy |
| تواريخ الأحداث: | Date Created: 20210118 Latest Revision: 20211230 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC7803251 |
| DOI: | 10.1089/cren.2020.0122 |
| PMID: | 33457688 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2379-9889 |
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| DOI: | 10.1089/cren.2020.0122 |