Arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review
Abstract Background Arterioureteral fistula (AUF) is a rare, life-threatening condition wherein communication occurs between a ureter and the common, internal, or external iliac artery. The sensitivity of common clinical imaging examination for AUF is low, which leads to a delayed diagnosis and incr...
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | BMC Urology |
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| Online Access: | https://doi.org/10.1186/s12894-022-01071-y |
| _version_ | 1818162669216071680 |
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| author | Zhiwen Jiang Jian Wang Jianfeng Cui Shouzhen Chen Sifeng Qu Wenfu Wang Hu Guo Benkang Shi Yaofeng Zhu |
| author_facet | Zhiwen Jiang Jian Wang Jianfeng Cui Shouzhen Chen Sifeng Qu Wenfu Wang Hu Guo Benkang Shi Yaofeng Zhu |
| author_sort | Zhiwen Jiang |
| collection | DOAJ |
| description | Abstract Background Arterioureteral fistula (AUF) is a rare, life-threatening condition wherein communication occurs between a ureter and the common, internal, or external iliac artery. The sensitivity of common clinical imaging examination for AUF is low, which leads to a delayed diagnosis and increased mortality. In addition, the increased use of ureteral stents contributes to the growing frequency of AUF. Case presentation Our two patients were 74 and 65 years old males respectively. They both had a medical history of bladder cancer and underwent radical cystectomy with ureterocutaneostomy. The patients underwent routine catheter exchange during over 1 year postradical cystectomy and subsequently experienced intermittent gross pulsatile haematuria. After a series of imaging examinations failed to identify the cause, the patients were ultimately diagnosed with AUF and treated with interventional radiotherapy, followed by broad-spectrum antibiotics. Positive effects were found. Conclusions The incidence of AUF is increased with the prolongation of survival in patients with related risk factors. This case report aims to highlight early diagnosis and management of AUF to lower the mortality. |
| first_indexed | 2024-12-11T16:37:20Z |
| format | Article |
| id | doaj.art-e20a8ba1b15c44499d9803bf731bbe22 |
| institution | Directory Open Access Journal |
| issn | 1471-2490 |
| language | English |
| last_indexed | 2024-12-11T16:37:20Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Urology |
| spelling | doaj.art-e20a8ba1b15c44499d9803bf731bbe222022-12-22T00:58:25ZengBMCBMC Urology1471-24902022-07-0122112110.1186/s12894-022-01071-yArterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature reviewZhiwen Jiang0Jian Wang1Jianfeng Cui2Shouzhen Chen3Sifeng Qu4Wenfu Wang5Hu Guo6Benkang Shi7Yaofeng Zhu8Department of Urology, Qilu Hospital of Shandong UniversityDepartment of Urology, People’s Hospital of LaolingDepartment of Urology, Qilu Hospital of Shandong UniversityDepartment of Urology, Qilu Hospital of Shandong UniversityDepartment of Urology, Qilu Hospital of Shandong UniversityDepartment of Urology, Qilu Hospital of Shandong UniversityDepartment of Urology, Qilu Hospital of Shandong UniversityDepartment of Urology, Qilu Hospital of Shandong UniversityDepartment of Urology, Qilu Hospital of Shandong UniversityAbstract Background Arterioureteral fistula (AUF) is a rare, life-threatening condition wherein communication occurs between a ureter and the common, internal, or external iliac artery. The sensitivity of common clinical imaging examination for AUF is low, which leads to a delayed diagnosis and increased mortality. In addition, the increased use of ureteral stents contributes to the growing frequency of AUF. Case presentation Our two patients were 74 and 65 years old males respectively. They both had a medical history of bladder cancer and underwent radical cystectomy with ureterocutaneostomy. The patients underwent routine catheter exchange during over 1 year postradical cystectomy and subsequently experienced intermittent gross pulsatile haematuria. After a series of imaging examinations failed to identify the cause, the patients were ultimately diagnosed with AUF and treated with interventional radiotherapy, followed by broad-spectrum antibiotics. Positive effects were found. Conclusions The incidence of AUF is increased with the prolongation of survival in patients with related risk factors. This case report aims to highlight early diagnosis and management of AUF to lower the mortality.https://doi.org/10.1186/s12894-022-01071-yArterioureteral fistulaLiterature reviewBladder cancerUreterocutaneostomy |
| spellingShingle | Zhiwen Jiang Jian Wang Jianfeng Cui Shouzhen Chen Sifeng Qu Wenfu Wang Hu Guo Benkang Shi Yaofeng Zhu Arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review BMC Urology Arterioureteral fistula Literature review Bladder cancer Ureterocutaneostomy |
| title | Arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review |
| title_full | Arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review |
| title_fullStr | Arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review |
| title_full_unstemmed | Arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review |
| title_short | Arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review |
| title_sort | arterioureteral fistula after radical cystectomy and ureterocutaneostomy two case reports and a systematic literature review |
| topic | Arterioureteral fistula Literature review Bladder cancer Ureterocutaneostomy |
| url | https://doi.org/10.1186/s12894-022-01071-y |
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