输尿管髂骨瘘：病例报告及文献综述
Ureteroiliac fistula: a case report review of the literature.
作者信息
Mitterberger Michael, Frauscher Ferdinand, Steppan Ilona, Peschel Reinhard, Pinggera Germar-Michael
机构信息
Department of Urology, Medical University Innsbruck, Anichstrasse 35, Innsbruck, 6020, Austria.
出版信息
Cases J. 2009 Jul 21;2:6266. doi: 10.4076/1757-1626-2-6266.
INTRODUCTION
Ureteroiliac fistulas are rare but potentially life-threatening. Risk factors to develop a fistula are chronic indwelling ureteral stents, previous pelvic surgery and radiotherapy.
CASE PRESENTATION
We report a case of a patient with intermittent gross hematuria after previous abdominal surgery, radiotherapy and indwelling ureteric stents. After several diagnostic and therapeutic procedures an ureteroiliac fistula could be finally identified and treated by endovascular stenting.
CONCLUSION
Ureteroiliac fistula should be considered in any patient with intermittent gross hematuria and any of the known risk factors.
引言
输尿管髂骨瘘罕见但可能危及生命。发生瘘的危险因素包括长期留置输尿管支架、既往盆腔手术和放疗。
病例报告
我们报告一例患者，既往有腹部手术、放疗及留置输尿管支架史，出现间歇性肉眼血尿。经过多项诊断和治疗措施后，最终确诊为输尿管髂骨瘘，并通过血管内支架置入术进行治疗。
结论
对于任何有间歇性肉眼血尿且存在任何已知危险因素的患者，均应考虑输尿管髂骨瘘的可能。
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