Diagnostik und Behandlung einer ureteroarteriellen Fistel

• DOI: 10.1007/s00120-009-2012-6
• Publication Date: 2009-06-09T10:13:12Z
• Authors: E. Özgür; U. Engelmann; O. Dagtekin
• Keywords: 03 medical and health sciences; 0302 clinical medicine

Ureteroarterial fistulae are rare after vascular surgery with only 16 cases being reported in the literature. We report a 65-year-old woman who presented with massive gross hematuria following endostenting of an iliac aneurysm. Cystoscopy demonstrated ejaculation of blood from the left orifice and angiography revealed an ureteroiliac fistula between the left ureter and the common iliac artery. Following placement of a vascular endoprosthesis and a double J stent gross hematuria developed. This case highlights the diagnosis and therapeutic approach in patients with suspected ureteroarterial fistula.