Turo Rafal, Hadome Ewere, Somov Pavlo, Hamid Bushra, Gulur Dev Mohan, Pettersson Bo Adrian, Awsare Ninaad Shashank
Department of Urology, Countess of Chester Hospital, Chester, UK.
Department of Histopathology, Countess of Chester Hospital, Chester, UK.
Curr Urol. 2018 Oct;12(1):54-56. doi: 10.1159/000489419. Epub 2018 Jun 30.
The first uretero-arterial fistula (UAF) was reported in 1908 by Moschcowitz. In 2009, a systematic review identified 139 cases. Since then a further 23 cases were described with 19 cases originating from a single center. It has been recognized as a very rare condition in the past. However, more recently, the increasing incidence of UAF has led us to believe that this condition is more frequent than previously described. Aging population, improved cancer survival and extensive multimodal pelvic cancer treatments have been recognized as culprits for the increased incidence of UAFs. We have reviewed literature on UAFs, identified risk factors, patho-physiology and treatment options. Also, we present a case of fistulous communication between the internal iliac artery and ureter in a patient with a potential risk factor previously not described in the literature.
1908年，莫斯乔维茨首次报道了输尿管动脉瘘（UAF）。2009年，一项系统评价确定了139例病例。从那时起，又有23例病例被描述，其中19例来自同一个中心。过去人们一直认为这是一种非常罕见的病症。然而，最近，UAF发病率的上升使我们相信这种病症比之前描述的更为常见。人口老龄化、癌症生存率提高以及广泛的多模式盆腔癌症治疗被认为是UAF发病率上升的原因。我们回顾了关于UAF的文献，确定了危险因素、病理生理学和治疗方案。此外，我们还介绍了一例髂内动脉与输尿管之间存在瘘管相通的病例，该患者具有一个此前文献中未描述过的潜在危险因素。
