Document Detail


Successful management by provocative angiography and endovascular stent of Ureteroarterial fistula in a patient with a long-term indwelling ureteral stent.
MedLine Citation:
PMID:  20007190     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present the clinical course of a ureteroiliac arterial fistula in a patient who had been managed by ureteral stenting for 8 years for severe ureteral stricture after abdominoperineal resection with pelvic irradiation for advanced rectal cancer. A multidisciplinary team approach including provocative angiography and an endovascular stent saved the life of the patient. Ureteroarterial fistula is a rare complication of a long-term indwelling ureteral stent that is potentially fatal unless a prompt diagnosis and adequate therapy are provided. Heightened awareness and a high index of suspicion for this condition are required to make an early diagnosis.
Authors:
Kazumitsu Yamasaki; Kei Omori; Ei-Ichiro Takaoka; Noritoshi Sekido; Masanari Shigai; Kensaku Mori; Manabu Minami; Yutaka Watanabe; Toru Shimazui; Hideyuki Akaza
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-12-09
Journal Detail:
Title:  Japanese journal of clinical oncology     Volume:  40     ISSN:  1465-3621     ISO Abbreviation:  Jpn. J. Clin. Oncol.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-01     Completed Date:  2010-03-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0313225     Medline TA:  Jpn J Clin Oncol     Country:  England    
Other Details:
Languages:  eng     Pagination:  267-70     Citation Subset:  IM    
Affiliation:
Department of Urology and Andrology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angiography*
Humans
Iliac Artery
Rectal Neoplasms / complications,  therapy
Stents*
Urinary Fistula / etiology,  radiography*,  therapy*
Vascular Fistula / etiology,  radiography*,  therapy*

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