Reddy Dindi D, Salem Riad, Gonzalez Jose A, Konstandt David, Sergie Ziad, Lewandowski Robert
Department of Interventional Radiology, Beaumont Hospital, 3601 West 13 Mile Road, Royal Oak, Michigan 48073, USA.
J Vasc Interv Radiol. 2003 Jun;14(6):793-5. doi: 10.1097/01.rvi.0000071085.76348.55.
A 74-year-old woman developed retroperitoneal fibrosis after aortic surgery for a left common iliac artery aneurysm. On the 5th day after repair, a left groin ureterocutaneous fistula developed. Because of the presence of a hostile surgical bed, the fistula was treated with percutaneous nephrotomy and double J stent insertion. Despite proximal control for more than 1 year, the fistula persisted. She was referred to the interventional radiology department for exchange to a nephrostomy with ureteral embolization. Rather than perform embolization of the ureter, we successfully repaired the fistula with a covered stent-graft. The patient was seen again 1 year after stent-graft placement. Output continues to fluctuate but never exceeds 5 mL per day.
一名74岁女性在因左髂总动脉瘤接受主动脉手术后发生了腹膜后纤维化。修复术后第5天，出现了左腹股沟输尿管皮肤瘘。由于手术床情况不利，该瘘通过经皮肾造瘘术和插入双J支架进行治疗。尽管近端控制超过1年，但瘘仍持续存在。她被转诊至介入放射科，准备更换为肾造瘘并进行输尿管栓塞。我们没有对输尿管进行栓塞，而是成功地用覆膜支架型人工血管修复了瘘。在放置支架型人工血管1年后对患者进行了复查。引流液量仍有波动，但每天从未超过5毫升。
