| A case of iliac-artery-ureteral fistula managed with a combined endoscopic approach. | |
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MedLine Citation:
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PMID: 18334976 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: A 66-year-old man presented to hospital with gross hematuria and clots. He had previously undergone surgical repair of a right iliac artery aneurysm with placement of a vascular prosthesis at the same hospital, which had resulted in iliac urethral stricture that required the placement of a right ureteral stent. He had attended repeatedly for recurrent ureteral stent replacement, with the most recent replacement having occurred 1 month before the current presentation. INVESTIGATIONS: Ultrasonography, cystography, retrograde pyelography and provocative arteriography via a percutaneous right femoral arterial approach. DIAGNOSIS: An iliac-artery-ureteral fistula between the right ureter and a pseudoaneurysm of the right common iliac artery. MANAGEMENT: The patient underwent placement of a covered, self-expandable vascular stent with angioplasty balloon, which resulted in complete exclusion of the pseudoaneurysm and fistula and resolution of the patient's hematuria. A pigtail catheter was placed in the right ureter for 5 days and replaced with a double-J ureteral stent on day 6 after exclusion of the pseudoaneurysm; the patient was discharged from hospital on the same day. Color-Doppler ultrasonography of the right iliac vessels performed 2 months later showed patency of the right iliac artery. The patient's ureteral stent has been replaced every 2 months since his discharge without recurrence of hematuria. |
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Authors:
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Fabrizio Gallo; Emilio Gastaldi; Gianpiero Spirito; Antonio Barile; Corrado Kosir; Claudio Giberti |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-03-11 |
Journal Detail:
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Title: Nature clinical practice. Urology Volume: 5 ISSN: 1743-4289 ISO Abbreviation: - Publication Date: 2008 Apr |
Date Detail:
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Created Date: 2008-04-08 Completed Date: 2008-06-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101226508 Medline TA: Nat Clin Pract Urol Country: United States |
Other Details:
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Languages: eng Pagination: 225-8 Citation Subset: IM |
Affiliation:
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Division of Urology, San Paolo Hospital, Savona, Italy. gallo.fabrizio@fastwebnet.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aneurysm, False / diagnosis, therapy Angioplasty, Balloon Hematuria / etiology Humans Iliac Artery / surgery* Male Stents Ureter / surgery* Urinary Fistula / diagnosis, therapy* Vascular Fistula / diagnosis, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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