Herranz Amo F, Camúñez F, Díez Cordero J M, Verdú Tartajo F, Lledo García E, Bueno Chamon G
Departamento de Urología y Sección de Radiología Intervencionista, Madrid, España.
Arch Esp Urol. 1998 Oct;51(8):818-20.
To describe a case of uretero-iliac fistula, an extremely rare condition that is not easily diagnosed.
METHODS/RESULTS: Herein we describe a 76-year-old female who had undergone repeated pelvic surgery for adenocarcinoma of the sigmoid. She had a right ureteral fistula that had been managed conservatively by insertion of a ureteral catheter. Diagnosis was made by selective arteriography of the iliac arteries. The patient was submitted to surgery; primary closure of the arterial fistula and nephroureterectomy were performed.
Uretero-iliac fistula should be suspected in patients with a history of repeated pelvic surgery and ureteral catheter placement that present with massive hematuria.
描述一例输尿管-髂骨瘘病例，这是一种极为罕见且不易诊断的病症。
方法/结果：在此，我们描述一名76岁女性，她因乙状结肠腺癌接受了多次盆腔手术。她患有右侧输尿管瘘，通过插入输尿管导管进行了保守治疗。通过髂动脉选择性动脉造影术做出诊断。患者接受了手术；进行了动脉瘘的一期缝合和肾输尿管切除术。
对于有多次盆腔手术史且放置输尿管导管后出现大量血尿的患者，应怀疑输尿管-髂骨瘘。
