Ureteral iliac artery fistula in idiopathic retroperitoneal fibrosis: A case report
Ureter-arterial fistula (UAF) is an uncommon condition. The presentation is usually a life-threatening intermittent massive gross hematuria and the diagnosis is still a challenge for urologist. Idiopathic Retroperitoneal fibrosis (IRF) is a condition of unknown etiology characterized by a highly fib...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2020-06-01
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| Series: | Archivio Italiano di Urologia e Andrologia |
| Subjects: | |
| Online Access: | https://www.pagepressjournals.org/index.php/aiua/article/view/8515 |
| _version_ | 1811264192283410432 |
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| author | Eugenio Di Grazia Tiziana La Malfa Gherardo Gasso |
| author_facet | Eugenio Di Grazia Tiziana La Malfa Gherardo Gasso |
| author_sort | Eugenio Di Grazia |
| collection | DOAJ |
| description | Ureter-arterial fistula (UAF) is an uncommon condition. The presentation is usually a life-threatening intermittent massive gross hematuria and the diagnosis is still a challenge for urologist. Idiopathic Retroperitoneal fibrosis (IRF) is a condition of unknown etiology characterized by a highly fibrotic retroperitoneal mass that frequently causes ureteral obstruction. To our knowledge we report the first case describing the UAF in a patient suffering from IRF. We hypothesize that inflammation and fibrosis resulted in fixation of the ureter to the adjacent artery causing a fistulous path. UAF was managed by deploying a 10 x 59 mm endo-graft at the intersection of common iliac artery bifurcation with the right ureter. Post treatment course was uneventful. |
| first_indexed | 2024-04-12T19:58:40Z |
| format | Article |
| id | doaj.art-3769627795954017827a7609d8df9172 |
| institution | Directory Open Access Journal |
| issn | 1124-3562 2282-4197 |
| language | English |
| last_indexed | 2024-04-12T19:58:40Z |
| publishDate | 2020-06-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-3769627795954017827a7609d8df91722022-12-22T03:18:35ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972020-06-0192210.4081/aiua.2020.2.107Ureteral iliac artery fistula in idiopathic retroperitoneal fibrosis: A case reportEugenio Di Grazia0Tiziana La Malfa1Gherardo Gasso2U.O.C. di Urologia - ARNAS Garibaldi-Nesima, CataniaLaboratorio Analisi - Casa di Cura Mater Dei, CataniaU.O.C. di Chirurgia Vascolare - ARNAS Garibaldi-Nesima, CataniaUreter-arterial fistula (UAF) is an uncommon condition. The presentation is usually a life-threatening intermittent massive gross hematuria and the diagnosis is still a challenge for urologist. Idiopathic Retroperitoneal fibrosis (IRF) is a condition of unknown etiology characterized by a highly fibrotic retroperitoneal mass that frequently causes ureteral obstruction. To our knowledge we report the first case describing the UAF in a patient suffering from IRF. We hypothesize that inflammation and fibrosis resulted in fixation of the ureter to the adjacent artery causing a fistulous path. UAF was managed by deploying a 10 x 59 mm endo-graft at the intersection of common iliac artery bifurcation with the right ureter. Post treatment course was uneventful.https://www.pagepressjournals.org/index.php/aiua/article/view/8515Idiopathic retroperitoneal fibrosis; Stent; Ureter; Uretero-arterial fistula |
| spellingShingle | Eugenio Di Grazia Tiziana La Malfa Gherardo Gasso Ureteral iliac artery fistula in idiopathic retroperitoneal fibrosis: A case report Archivio Italiano di Urologia e Andrologia Idiopathic retroperitoneal fibrosis; Stent; Ureter; Uretero-arterial fistula |
| title | Ureteral iliac artery fistula in idiopathic retroperitoneal fibrosis: A case report |
| title_full | Ureteral iliac artery fistula in idiopathic retroperitoneal fibrosis: A case report |
| title_fullStr | Ureteral iliac artery fistula in idiopathic retroperitoneal fibrosis: A case report |
| title_full_unstemmed | Ureteral iliac artery fistula in idiopathic retroperitoneal fibrosis: A case report |
| title_short | Ureteral iliac artery fistula in idiopathic retroperitoneal fibrosis: A case report |
| title_sort | ureteral iliac artery fistula in idiopathic retroperitoneal fibrosis a case report |
| topic | Idiopathic retroperitoneal fibrosis; Stent; Ureter; Uretero-arterial fistula |
| url | https://www.pagepressjournals.org/index.php/aiua/article/view/8515 |
| work_keys_str_mv | AT eugeniodigrazia ureteraliliacarteryfistulainidiopathicretroperitonealfibrosisacasereport AT tizianalamalfa ureteraliliacarteryfistulainidiopathicretroperitonealfibrosisacasereport AT gherardogasso ureteraliliacarteryfistulainidiopathicretroperitonealfibrosisacasereport |