Pozzilli Pietro, Lenti Massimo, Mosca Stefano, Nunzi Elisabetta, Mearini Luigi
Diagnostic Imaging Department, Hospital S. Maria della Misericordia, University of Perugia, 06100 Perugia, Italy.
Vascular and Endovascular Surgery Department, Hospital S. Maria della Misericordia, University of Perugia, 06100 Perugia, Italy.
Case Rep Urol. 2014;2014:514625. doi: 10.1155/2014/514625. Epub 2014 Nov 13.
Ureteroarterial fistula (UAF) is a relatively rare condition with about 150 cases reported in the literature. Since it is a potentially life-threatening condition, a prompt diagnosis and treatment are crucial. We present here a rare, challenging case of UAF diagnosed after left nephrectomy, thus involving the ureteral stump. The difficult diagnosis and treatment by contemporary use of endovascular stent placement and ureteral occlusion by mean of metallic coils and Onyx injection are discussed.
输尿管动脉瘘（UAF）是一种相对罕见的病症，文献报道约有150例。由于它是一种潜在的危及生命的病症，及时诊断和治疗至关重要。我们在此呈现一例罕见且具有挑战性的UAF病例，该病例是在左肾切除术后诊断出来的，因而涉及输尿管残端。本文讨论了通过当代使用血管内支架置入以及借助金属线圈和Onyx注射进行输尿管闭塞的方式来进行困难的诊断和治疗。
