Department of Surgery, 25989University of Texas Southwestern, Dallas, TX, USA.
Division of Vascular Surgery, 25989University of Texas Southwestern, Dallas, TX, USA.
Vasc Endovascular Surg. 2021 May;55(4):415-418. doi: 10.1177/1538574420976731. Epub 2020 Dec 17.
Uretero-arterial fistula (UAF) is a rare complication of either aneurysmal disease primarily or pelvic inflammation secondary to urologic, oncologic, or vascular interventions. Diagnosis can be difficult to confirm and treatment may need to proceed on high index of suspicion alone. We present the case of a 56-year-old woman suffering from intermittent hematuria after laser lithotripsy leading to UAF between her left ureter and left Dacron aortobifemoral bypass limb. The fistula was successfully treated with endovascular intervention.
输尿管-动脉瘘(UAF)是一种罕见的并发症,主要由动脉瘤疾病引起,或继发于泌尿科、肿瘤科或血管介入治疗的骨盆炎症。诊断可能难以确认,治疗可能需要仅凭高度怀疑进行。我们报告了一例 56 岁女性,在激光碎石术后出现间歇性血尿,导致其左侧输尿管和左侧涤纶股腘动脉旁路分支之间发生 UAF。该瘘通过血管内介入治疗成功治疗。