Arterio-Ureteral Fistula due to External Iliac Artery Pseudo-aneurysm Rupture

Yong-Sun Choi; Joon Jang; Doo Bae Kim

doi:10.4111/kju.2007.48.4.463

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Choi, Jang, and Kim: Arterio-Ureteral Fistula due to External Iliac Artery Pseudo-aneurysm Rupture

Original Article

Korean J Urol 2007;48(4):463-466.

Published online: 18 December 2007

DOI: https://doi.org/10.4111/kju.2007.48.4.463

Arterio-Ureteral Fistula due to External Iliac Artery Pseudo-aneurysm Rupture

Yong-Sun Choi, Joon Jang, Doo Bae Kim

¹From the Department of Urology, College of Medicine, The Catholic University of Korea, Seoul, Korea

Corresponding author: Kim Doo-bae Catholic University of Korea Daejeon St. Mary's Hospital urology 520-2, Daeheung-dong, Jung-gu, Daejeon 301-723 TEL: 042-220-9090 FAX: 042-252-9585 E-mail: dbkim@ catholic.ac.kr

Received 10 July 2006 Accepted 25 October 2006

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Arterio-ureteral fistulas are uncommon but potentially cause a life-threatening hemorrhage that manifest as gross hematuria. Approximately 90 cases of arterio-ureteral fistulas have been reported in the English-language literature. To our knowledge, there have been no report about this issue in Korea. We experienced 1 patient with arterio-ureteral fistula after pelvic operation and radiation therapy followed by ureteral stent. Arterio- ureteral fistula was diagnosed by selective arteriography and treated by surgical management successfully without complications. IpoHBJVhil

Keywords: Ureter, Stents, Fistula, Arteriography

REFERENCES

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Fig. 1.

(A) Bilateral hydronephrosis with hematoma, bilateral ureteral stent insertion state. (B) Round huge hematoma in the bladder.

Fig. 2.

(A) Bilateral renal angiogram shows no definite abnormal lesion. Ureteral stents are well positioned bilaterally and contrast of previously taken computed tomography (CT) is still remained in descending colon. (B), (C) Abdominal aortogram and selective iliac arteriogram shows no definite bleeding focus or vessel malformations.

Fig. 3.

(A) Selective iliac arteriogram shows contrast leakage from right external iliac artery pseudo- aneurysm (white circle) to right ureter and excret to bladder (white arrow). (B) External ilio-femoral bypass operation is done.

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