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Case Rep Med. 2010;2010:287034. doi: 10.1155/2010/287034. Epub 2010 Mar 14.

Ureteroiliac artery fistula in a young woman with short bowel syndrome for radiation enteritis.

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1
Dipartimento di Medicina Clinica e Sperimentale, AOU Federico II, 80131 Napoli, Italy.

Abstract

Ureteral-iliac artery fistula is a rare and potentially life-threatening complication, typically occurring after radiation therapy in already surgically treated cancer patients. This case report describes the diagnostic challenges and the successful management, with the positioning of an intra-arterial prosthesis, of a fistula between the internal iliac artery and the left ureter presenting as massive hematuria in a young woman with history of total colectomy and pelvic radiotherapy for rectal cancer and subsequent wide ileal resections and bilateral ureteral stent positioning for radiation enteritis. Ureteroiliac artery fistulas require a prompt diagnosis and intervention, to avoid life threatening clinical events.

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