Veenstra G M, Fossion L M C L, Debonnaire G, de Laet K
Faculty of Health, Medicine and Life Sciences, Maastricht University, 6200 MD Maastricht, The Netherlands.
Case Rep Urol. 2011;2011:284505. doi: 10.1155/2011/284505. Epub 2011 Jul 3.
We describe an 80-year-old female with a left ureteroileal fistula and simultaneously a right ureteroiliac fistula. Her history highlights the predisposing factors of radiation, major surgery in the region, and presence of bilateral double-J-stents. She was successfully treated with an endovascular approach after being initially misdiagnosed. There seems to be an increase in reporting ureteral fistulas, however this entity remains a rare clinical condition that can lead to life-threatening situations. A fast and accurate diagnosis of an ureteroarterial fistula remains a challenge.
我们描述了一位80岁女性,她同时患有左输尿管回肠瘘和右输尿管髂骨瘘。她的病史突出了放疗、该区域的大手术以及双侧双J管置入等诱发因素。她最初被误诊,后经血管内介入治疗成功治愈。输尿管瘘的报告似乎有所增加,然而这种情况仍然是一种罕见的临床病症,可能导致危及生命的状况。输尿管动脉瘘的快速准确诊断仍然是一项挑战。