Asynchronous Bilateral Ureteric-Arterial Fistula: Diagnosis and Treatment

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...

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Main Authors: Pietro Pepe, Letterio D’Arrigo, Domenico Patane’, Ludovica Pepe, Giuseppe Candiano, Michele Pennisi
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2021/5590432
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author Pietro Pepe
Letterio D’Arrigo
Domenico Patane’
Ludovica Pepe
Giuseppe Candiano
Michele Pennisi
author_facet Pietro Pepe
Letterio D’Arrigo
Domenico Patane’
Ludovica Pepe
Giuseppe Candiano
Michele Pennisi
author_sort Pietro Pepe
collection DOAJ
description 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.
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institution Kabale University
issn 2090-696X
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language English
publishDate 2021-01-01
publisher Wiley
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series Case Reports in Urology
spelling doaj-art-54e3cd216e114158ac87b30eda6fde4f2025-02-03T01:09:56ZengWileyCase Reports in Urology2090-696X2090-69782021-01-01202110.1155/2021/55904325590432Asynchronous Bilateral Ureteric-Arterial Fistula: Diagnosis and TreatmentPietro Pepe0Letterio D’Arrigo1Domenico Patane’2Ludovica Pepe3Giuseppe Candiano4Michele Pennisi5Urology Unit-Cannizzaro Hospital, via Messina 829, Catania, ItalyUrology Unit-Cannizzaro Hospital, via Messina 829, Catania, ItalyUrology Unit-Cannizzaro Hospital, via Messina 829, Catania, ItalyUrology Unit-Cannizzaro Hospital, via Messina 829, Catania, ItalyUrology Unit-Cannizzaro Hospital, via Messina 829, Catania, ItalyUrology Unit-Cannizzaro Hospital, via Messina 829, Catania, ItalyA 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.http://dx.doi.org/10.1155/2021/5590432
spellingShingle Pietro Pepe
Letterio D’Arrigo
Domenico Patane’
Ludovica Pepe
Giuseppe Candiano
Michele Pennisi
Asynchronous Bilateral Ureteric-Arterial Fistula: Diagnosis and Treatment
Case Reports in Urology
title Asynchronous Bilateral Ureteric-Arterial Fistula: Diagnosis and Treatment
title_full Asynchronous Bilateral Ureteric-Arterial Fistula: Diagnosis and Treatment
title_fullStr Asynchronous Bilateral Ureteric-Arterial Fistula: Diagnosis and Treatment
title_full_unstemmed Asynchronous Bilateral Ureteric-Arterial Fistula: Diagnosis and Treatment
title_short Asynchronous Bilateral Ureteric-Arterial Fistula: Diagnosis and Treatment
title_sort asynchronous bilateral ureteric arterial fistula diagnosis and treatment
url http://dx.doi.org/10.1155/2021/5590432
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AT giuseppecandiano asynchronousbilateraluretericarterialfistuladiagnosisandtreatment
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