输尿管动脉瘘的血管内治疗：血尿的一种罕见且可能危及生命的病因。
Endovascular management of ureteroarterial fistula: a rare potentially life threatening cause of hematuria.
作者信息
Copelan Alexander, Chehab Monzer, Cash Charles, Korman Howard, Dixit Purushottam
机构信息
Department of Diagnostic and Interventional Radiology, Oakland University William Beaumont School of Medicine, Royal Oak, USA.
Department of Urology, Oakland University William Beaumont School of Medicine, Royal Oak, USA.
出版信息
J Radiol Case Rep. 2014 Jul 31;8(7):37-45. doi: 10.3941/jrcr.v8i7.1879. eCollection 2014 Jul.
Ureteroarterial fistula is a rare, potentially life-threatening cause of hematuria characterized by an abnormal channel between a ureter and artery. The rarity of this condition, complexity of predisposing risk factors and intermittence of symptoms may delay or obscure its diagnosis. With a high index of suspicion and careful angiographic evaluation, embarking on this condition is not only possible but sets the stage for curative intervention. We report a case of a ureteroarterial fistula presenting with intermittent hematuria, successfully diagnosed at angiography and managed with endovascular stent graft placement.
输尿管动脉瘘是一种罕见的、可能危及生命的血尿病因，其特征为输尿管与动脉之间存在异常通道。这种疾病的罕见性、诱发风险因素的复杂性以及症状的间歇性可能会延迟或掩盖其诊断。凭借高度的怀疑指数和仔细的血管造影评估，不仅有可能诊断出这种疾病，而且为进行根治性干预奠定了基础。我们报告一例以间歇性血尿为表现的输尿管动脉瘘病例，通过血管造影成功诊断，并采用血管内支架植入术进行治疗。
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