Arterio-ureteral fistula--a systematic review.

نویسندگان

  • D Bergqvist
  • H Pärsson
  • A Sherif
چکیده

OBJECTIVE To review published reports on arterio-ureteral fistula. METHOD Literature search. RESULTS Eighty cases were identified. Primary fistulas were mainly seen in combination with aortoiliac aneurysmal disease. Secondary fistulas were seen after pelvic cancer surgery, often with radiation, fibrosis and ureteral stenting or after vascular surgery with synthetic grafting. The dominating symptom is massive haematuria, often with circulatory impairment. The clue to a rapid and correct diagnosis is a high degree of suspicion. Most frequently diagnosis has been obtained through angiography or pyelography. When there is a ureteral stent manipulation it will often provoke bleeding and lead to diagnosis. The fistula must be excluded and a vascular reconstruction made. Most frequently this has been obtained through occlusion of the fistula and an extra-anatomic reconstruction (femoro-femoral crossover). Recently stent-grafting has been successfully used but follow-up is short. CONCLUSION Arterio-ureteral fistula is rare and should be suspected in patients with complicated pelvic surgery and massive haematuria, especially where rigid ureteral stents have been placed.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Uretero-Arterio-Enteric Fistula Formation and Stent Thrombosis After Endovascular Treatment of Ureteroarterial Fistula: A Case Report and Review of Literature

Background: Ureteroarterial fistulas (UAFs) are rare life-threatening complications of indwelling ureteral stents. Endovascular repair of these fistulas is now commonly used but the long-term outcomes are unknown. Case Presentation: We present a 51-year-old African American female with history of cervical cancer status after a hysterectomy and radiation. She has bilateral ureteral strictures th...

متن کامل

High-Output Heart Failure Due to an Iliac Arterio-Venous Fistula in Mycotic Aneurysm

Herein, we report a patient with arterio-venous fistula secondary to mycotic aneurysm, causing high output heart failure. The patient had one-year history of refractory heart failure and recurrent pulmonary edema. This presentation is a good example of curative surgically treatable cause of high-output congestive heart failure.Iran J Med Sci 2005; 30(1): 41-44. Keywords ● Arterio-venous fistula...

متن کامل

Endovascular treatment of arterio-ureteral fistulae with covered stents: Case series and review of the literature

Arterio-ureteral fistulae are abnormal connections between an artery and the ureter and carry a high mortality. We present two cases of arterio-ureteral fistulae that presented with life-threatening hematuria. Both patients were treated with endovascular covered stent placement.

متن کامل

Immediate ureterovaginal fistula following oocyte retrieval: A case and systematic review of the literature

The aim of this study is to report a case of acute ureterovaginal fistula (UVF) formation with immediate symptomatic presentation after transvaginal ultrasound-guided oocyte retrieval (TVOR) for in vitro fertilization (IVF) and to perform a systematic literature review of ureteral injuries during TVOR. A 33-year-old woman with a history of anovulatory infertility presented with severe abdominal...

متن کامل

Ulnar neuropathy caused by traumatic arterio-venous fistula following gunshot wound.

This report concerns a case of a 32-year-old male with right ulnar neuropathy caused by arterio-venous fistula due to gunshot wound injury presenting with severe neuropathic pain along the ulnar nerve distribution. Intra-operative exploration and ligation of the fistula relieved the patient`s neuropathic pain. A review of the recent English literature did not reveal any reports of arterio-venou...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

دوره 22 3  شماره 

صفحات  -

تاریخ انتشار 2001