Cass A S, Odland M
Department of Surgery, Hennepin County Medical Center, Minneapolis, Minnesota.
J Urol. 1990 Mar;143(3):582-3. doi: 10.1016/s0022-5347(17)40027-9.
A fistula developed between the left common iliac artery and the distal left ureter of an 83-year-old woman who had undergone aortofemoral bypass grafting many years previously and in whom a Double-J stent was in place for 3 weeks while she was awaiting extracorporeal shock wave lithotripsy. Exsanguinating hemorrhage into the urinary tract necessitated emergency nephrectomy and vascular repair. Although these measures were successful temporarily, the patient died 6 weeks later of repeat myocardial infarction and acute renal failure. The increasing frequency of ureteral stent use and of an operation on the iliac arteries is expected to increase the frequency of these potentially catastrophic fistulas.
一名83岁女性，多年前接受过主动脉股动脉搭桥移植术，在等待体外冲击波碎石术期间，体内的双J支架已放置3周，其左髂总动脉与左输尿管远端之间形成了瘘管。尿路内的大量出血导致必须进行紧急肾切除术和血管修复。尽管这些措施暂时成功，但患者在6周后死于再次心肌梗死和急性肾衰竭。随着输尿管支架使用频率以及髂动脉手术频率的增加，预计这些潜在灾难性瘘管的发生频率也会上升。
