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J Vasc Surg. 2014 Jun;59(6):1701-4. doi: 10.1016/j.jvs.2013.06.015. Epub 2013 Jul 21.

Diagnosis and treatment of arterial-ureteric fistula.

Author information

1
Section of Vascular Surgery, University of Kentucky College of Medicine, Lexington, Ky.
2
Division of General Surgery, University of Kentucky College of Medicine, Lexington, Ky.
3
Division of Urology, Department of Surgery, University of Kentucky College of Medicine, Lexington, Ky.
4
Section of Vascular Surgery, University of Kentucky College of Medicine, Lexington, Ky. Electronic address: edende0@uky.edu.

Abstract

A 45-year-old woman presented with gross hematuria. She had previously undergone an aortobifemoral bypass that subsequently became infected. The infected graft was removed and replaced with homograft. An arterioureteric fistula was identified with angiography and the patient was treated with an iCast stent graft. Diagnosis of arterioureteric fistula should be suspected in patients with gross hematuria and associated risk factors. We would recommend angiography for diagnosis and simultaneous treatment with a stent graft, although the long-term durability and outcome is unknown.

PMID:
23880547
DOI:
10.1016/j.jvs.2013.06.015
[Indexed for MEDLINE]
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