Silent arterio-ureteral fistula: Diagnosis and endovascular management
We report a patient with history of recurrent invasive rectal adenocarcinoma complicated by obstructive uropathy requiring nephro-ureteral catheter placement. Two years later during a regular catheter exchange, the patient developed unusually bloody urine raising suspicion for possible vascular inju...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-05-01
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| Series: | Urology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442024000664 |
| _version_ | 1797215964571369472 |
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| author | Ahmed Awad Bader Abou Shaar Rodrick c. Zvavanjanja |
| author_facet | Ahmed Awad Bader Abou Shaar Rodrick c. Zvavanjanja |
| author_sort | Ahmed Awad |
| collection | DOAJ |
| description | We report a patient with history of recurrent invasive rectal adenocarcinoma complicated by obstructive uropathy requiring nephro-ureteral catheter placement. Two years later during a regular catheter exchange, the patient developed unusually bloody urine raising suspicion for possible vascular injury. CT angiogram and conventional angiogram were negative. However, an antegrade nephrostogram revealed a fistulous communication between the right ureter and the right internal iliac artery. Subsequently, the artery was sacrificed using detachable coils. We discuss the rare encounter of a silent arterio-ureteral fistula, the value of antegrade nephrostogram as a diagnostic tool, and the management options in such scenario. |
| first_indexed | 2024-04-24T11:38:26Z |
| format | Article |
| id | doaj.art-7b80d534c44a4c11bfe5401ffd5c5074 |
| institution | Directory Open Access Journal |
| issn | 2214-4420 |
| language | English |
| last_indexed | 2024-04-24T11:38:26Z |
| publishDate | 2024-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj.art-7b80d534c44a4c11bfe5401ffd5c50742024-04-10T04:28:59ZengElsevierUrology Case Reports2214-44202024-05-0154102712Silent arterio-ureteral fistula: Diagnosis and endovascular managementAhmed Awad0Bader Abou Shaar1Rodrick c. Zvavanjanja2Department of Diagnostic and Interventional Imaging, The University of Texas Health Science Center at Houston, 6431 Fannin Street, Houston, TX, USA 77030; Corresponding author. Department of diagnostic and Interventional Imaging, The University of Texas Health Science Center at Houston, 6431 Fannin Street, MSB 2A, Houston, TX, 77030, USA.College of Medicine, Alfaisal University, Riyadh, Saudi ArabiaDepartment of Diagnostic and Interventional Imaging, The University of Texas Health Science Center at Houston, 6431 Fannin Street, Houston, TX, USA 77030We report a patient with history of recurrent invasive rectal adenocarcinoma complicated by obstructive uropathy requiring nephro-ureteral catheter placement. Two years later during a regular catheter exchange, the patient developed unusually bloody urine raising suspicion for possible vascular injury. CT angiogram and conventional angiogram were negative. However, an antegrade nephrostogram revealed a fistulous communication between the right ureter and the right internal iliac artery. Subsequently, the artery was sacrificed using detachable coils. We discuss the rare encounter of a silent arterio-ureteral fistula, the value of antegrade nephrostogram as a diagnostic tool, and the management options in such scenario.http://www.sciencedirect.com/science/article/pii/S2214442024000664 |
| spellingShingle | Ahmed Awad Bader Abou Shaar Rodrick c. Zvavanjanja Silent arterio-ureteral fistula: Diagnosis and endovascular management Urology Case Reports |
| title | Silent arterio-ureteral fistula: Diagnosis and endovascular management |
| title_full | Silent arterio-ureteral fistula: Diagnosis and endovascular management |
| title_fullStr | Silent arterio-ureteral fistula: Diagnosis and endovascular management |
| title_full_unstemmed | Silent arterio-ureteral fistula: Diagnosis and endovascular management |
| title_short | Silent arterio-ureteral fistula: Diagnosis and endovascular management |
| title_sort | silent arterio ureteral fistula diagnosis and endovascular management |
| url | http://www.sciencedirect.com/science/article/pii/S2214442024000664 |
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