Kuntz Nicholas J, Inman Brant A
Division of Urology, Duke University Medical Center, Durham, NC.
Can Urol Assoc J. 2013 Sep-Oct;7(9-10):E645-7. doi: 10.5489/cuaj.402.
A neobladder-arterial fistula is a very rare complication following cystectomy, with only 1 previously reported case. Delay in diagnosis can be rapidly fatal and requires prompt intervention. We report the case of a 63-year-old male who developed massive hematuria, and was found to have a fistula between the right external iliac artery and Studer neobladder during emergent exploratory laparotomy. Treatment success relies on a high index of suspicion and may include open operative intervention.