Rao Ahsan M, Khalil Ahmed, Suttie Stuart
Department of Vascular Surgery, Ninewells Hospital, Dundee, UK
Department of Vascular Surgery, Ninewells Hospital, Dundee, UK.
Vascular. 2015 Apr;23(2):193-6. doi: 10.1177/1708538114538623. Epub 2014 Jun 5.
Ureteric fistula into the arterial tree is a well-recognised, but uncommon condition. The involvement of internal iliac artery is rare. We present a rare case of fistulous communication and subsequent infection of an internal iliac artery aneurysm and ureter secondary to insertion of ureteric stent following endovascular exclusion of the aneurysm and its management. Nephrostogram identified the fistula not seen on computerised tomography. This case highlights the awareness of such pathology allowing for prompt recognition of the condition and importance of appropriate imaging.
输尿管与动脉树形成瘘管是一种已被充分认识但并不常见的病症。髂内动脉受累较为罕见。我们报告一例罕见病例，在对动脉瘤进行血管内封堵及随后放置输尿管支架后，出现了髂内动脉瘤与输尿管之间的瘘管相通及继发感染，并介绍了其治疗情况。肾造影片发现了计算机断层扫描未显示的瘘管。该病例强调了对此类病变的认识，以便能及时识别病情以及适当影像学检查的重要性。
