Rafiei Arash, Weber Timothy A, Kongnyuy Michael, Ordorica Raul
Tampa General Hospital, Tampa, FL 33606, USA ; University of South Florida Morsani College of Medicine, Tampa, FL 33612, USA.
Case Rep Urol. 2015;2015:826760. doi: 10.1155/2015/826760. Epub 2015 May 5.
Ureteral-arterial fistula (UAF) is an exceedingly rare but life-threatening condition warranting emergent intervention. Prompt recognition and management of UAF in suspect patients presenting with gross hematuria are required for a successful outcome. We report a rare subset of UAF involving the bilateral common iliac arteries. The patient underwent successful endovascular stent-grafting to correct the arterial defect and delayed open repair of the ureteral strictures. Timely management has benefited from the collaboration of the involved medical teams, which included emergency medicine, urology, and interventional radiology.
输尿管-动脉瘘（UAF）是一种极为罕见但危及生命的疾病，需要紧急干预。对于出现肉眼血尿的疑似患者，迅速识别并处理UAF是取得成功治疗结果的必要条件。我们报告了一例罕见的累及双侧髂总动脉的UAF病例。该患者接受了成功的血管内支架植入术以纠正动脉缺损，并延迟进行输尿管狭窄的开放修复。及时的治疗得益于相关医疗团队的协作，这些团队包括急诊医学、泌尿外科和介入放射科。
