Kuramoto Tomomi, Muraoka Satoshi, Nishikawa Toru, Matsumoto Yoshinari, Uokawa Kyosuke
The Department of Urology, Kishiwada City Hospital.
The Department of Obstetrics and Gynecology, Kishiwada City Hospital.
Hinyokika Kiyo. 2019 Jul;65(7):299-303. doi: 10.14989/ActaUrolJap_65_7_299.
We report a case of right uretero-external iliac artery fistula. A 46-year-old woman diagnosed with left ovarian cancer with peritoneal dissemination underwent simple hysterectomy, bilateral adnexal removal, partial omentectomy and appendectomy. Sixteen months after the operation, a computed tomography scan showed right hydronephrosis due to the development of tumor within the pelvis. A ureteral stent was placed into the right ureter in order to preserve renal function. The ureteral stent was replaced at regular intervals. Five months after the ureteral stent placement, the patient was hospitalized urgently with gross hematuria. She was diagnosed with right uretero-external iliac artery fistula based on the angiographic examination that was conducted to detect the source of hemorrhage. She was treated successfully with endovascular stent grafting in the right external iliac artery. She has since shown no episode of hematuria.
我们报告一例右输尿管-髂外动脉瘘病例。一名46岁被诊断为左卵巢癌伴腹膜播散的女性接受了单纯子宫切除术、双侧附件切除术、部分大网膜切除术和阑尾切除术。术后16个月，计算机断层扫描显示盆腔内肿瘤导致右肾积水。为保护肾功能，在右输尿管置入了输尿管支架。输尿管支架定期更换。输尿管支架置入5个月后，患者因肉眼血尿紧急住院。通过进行血管造影检查以检测出血源，她被诊断为右输尿管-髂外动脉瘘。她通过右髂外动脉血管内支架植入术获得成功治疗。此后她未再出现血尿情况。
