Uretero-iliac fistula |
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Authors: | F Herranz Amo F Camú?ez JM Díez Cordero F Verdú Tartajo E Lledo García G Bueno Chamon |
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Affiliation: | Departamento de Urología y Sección de Radiología Intervencionista, Madrid, Espa?a. |
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Abstract: | OBJECTIVE: 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. CONCLUSIONS: Uretero-iliac fistula should be suspected in patients with a history of repeated pelvic surgery and ureteral catheter placement that present with massive hematuria. |
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