Diagnosis and Management of a Challenging Patient: Ureteroarterial Fistula

Rittenberg, Lauren; Nordsiek, Michael; Cahn, David; Zhang, Karl; Taylor, N.P.; Ginsberg, Phillip C.

doi:10.1016/j.urology.2016.07.017

Cited by 5 publications

(5 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, angiography with concurrent manipulation of a chronic nephroureteral stent was shown to improve sensitivity to 100% at one institution [6]. The sensitivity of provocative retrograde pyelogram was shown to be as low as 63%, which was demonstrated by our second case [7]. Ultimately, no single test will be perfectly diagnostic and will likely need to be reperformed.…”

Section: Discussionmentioning

confidence: 71%

Ureteroarterial Fistula: A Diagnosis Which Is Not Always Black and White

Haffar

Trump

Elbakry

et al. 2021

Case Reports in Urology

View full text Add to dashboard Cite

Ureteroiliac artery fistulas are a rare, life-threatening condition that requires a high index of suspicion for prompt diagnosis. Presurgical diagnosis is challenging as this condition can lie hidden despite advanced imaging modalities. We present two cases of patients presenting with gross hematuria and exsanguination in the setting of a ureteroiliac artery fistula. These cases highlight the difficulties in timely diagnosis and treatment in a multidisciplinary team.

show abstract

Section: Discussionmentioning

confidence: 71%

Ureteroarterial Fistula: A Diagnosis Which Is Not Always Black and White

Haffar

Trump

Elbakry

et al. 2021

Case Reports in Urology

View full text Add to dashboard Cite

show abstract

“…Angiography with concurrent manipulation of a neophroureteral stent has been shown to improve the sensitivity to 100%, which can achieve the same effect as balloon stimulation. The sensitivity of provocative retrograde pyelogram may be as low as 63% [ 13 , 14 ]. Enhanced CT has less sensitivity in identifying bleeding but can be highly beneficial if active haemorrhage or a pseudoaneurysm is exist.…”

Section: Discussionmentioning

confidence: 99%

Arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review

Jiang

Wang²,

Cui

et al. 2022

BMC Urol

View full text Add to dashboard Cite

Background Arterioureteral fistula (AUF) is a rare, life-threatening condition wherein communication occurs between a ureter and the common, internal, or external iliac artery. The sensitivity of common clinical imaging examination for AUF is low, which leads to a delayed diagnosis and increased mortality. In addition, the increased use of ureteral stents contributes to the growing frequency of AUF. Case presentation Our two patients were 74 and 65 years old males respectively. They both had a medical history of bladder cancer and underwent radical cystectomy with ureterocutaneostomy. The patients underwent routine catheter exchange during over 1 year postradical cystectomy and subsequently experienced intermittent gross pulsatile haematuria. After a series of imaging examinations failed to identify the cause, the patients were ultimately diagnosed with AUF and treated with interventional radiotherapy, followed by broad-spectrum antibiotics. Positive effects were found. Conclusions The incidence of AUF is increased with the prolongation of survival in patients with related risk factors. This case report aims to highlight early diagnosis and management of AUF to lower the mortality.

show abstract

“…Cabe destacar los antecedentes oncológicos, cirugías y tratamiento radioterápico pélvico que se da en todos los casos registrados (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13).…”

Section: Discussionunclassified

“…Además, en muchas ocasiones las primeras pruebas diagnósticas no evidencian la lesión y fuga de contraste. En nuestra revisión el principal método diagnóstico fue la arteriografía (3-13); sin embargo, en múltiples casos se realizaron previamente citoscopias, pielografías y/o TAC abdominales que mostraron resultados normales (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13).…”

Section: Discussionunclassified