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Int Urol Nephrol. 2007;39(3):751-3. Epub 2006 Nov 16.

Primary uretero-iliac fistula: the unusual source of haematuria.

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  • 1Department of Urology, Charing Cross Hospital, Fulham Palace Road, London, W6 8RF, United Kingdom. tak_khong@hotmail.com

Abstract

Uretero-iliac fistula is a rare cause of frank haematuria. The aetiology of such fistula is commonly iatrogenic. We present a unique case of a primary aorto-iliac fistula in the absence of an aneurysm or arteriovenous malformation. The diagnosis was demonstrated by ureteroscopy and real-time retrograde ureterogram. Multiple arterial embolisation of the fistula had failed, and the patient underwent a successful ureterolysis and ligation of fistula. We demonstrate the diagnostic difficulties and treatment dilemma of such rare cause of haematuria.

PMID:
17109202
[PubMed - indexed for MEDLINE]
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