Document Detail

Uretero-arterial fistula: two observations.
MedLine Citation:
PMID:  9224518     Owner:  NLM     Status:  MEDLINE    
Two cases of life-threatening haematuria, secondary to an uretero-arterial fistula, are reported. Both cases present predisposing causative factors. One patient had a combination of previous aorto-bifemoral bypass grafting, an iliac artery aneurysm (retrogradely perfused), and an indwelling ureteral stent for ureteral compression. The other patient had previous aortoiliac surgery and obstructive uropathy with chronic urinary tract infection. Preoperative diagnosis of uretero-arterial fistula was made in only one patient. He was successfully operated (exclusion of the iliac aneurysm). In the other patient, nephrectomy was attempted to control reno-ureteral bleeding of unknown origin. Fatal recidive of brisk haematuria occurred some days later. Factors contributing to the development of uretero-arterial fistula, their diagnosis and optimal treatment are discussed.
H Van Damme; V Keppenne; N Sakalihasan; R Andrianne; R Limet
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta chirurgica Belgica     Volume:  97     ISSN:  0001-5458     ISO Abbreviation:  Acta Chir. Belg.     Publication Date:  1997 Jun 
Date Detail:
Created Date:  1997-08-28     Completed Date:  1997-08-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370571     Medline TA:  Acta Chir Belg     Country:  BELGIUM    
Other Details:
Languages:  eng     Pagination:  133-6     Citation Subset:  IM    
Department of Cardiovascular Surgery, University Hospital Sart-Tilman, Liège, Belgium.
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MeSH Terms
Arteriovenous Shunt, Surgical
Fistula / complications,  radiography,  surgery*
Hematuria / etiology
Iliac Aneurysm / complications*
Iliac Artery*
Postoperative Complications / radiography,  surgery
Ureteral Diseases / complications,  radiography,  surgery*
Urinary Fistula / complications,  radiography,  surgery*

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