Endovascular Treatment for Arterioureteral Fistula of the Abdominal Aorta: A Case Report and Literature Review
이형남, 이웅희,
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이형남 ( Lee Hyoung-Nam )
Soonchunhyang University Cheonan Hospital Department of Radiology
이웅희 ( Lee Woong-Hee )
Soonchunhyang University Cheonan Hospital Department of Radiology
Abstract
We present a rare case demonstrating successful endovascular management of an arterioureteral fistula involving the abdominal aorta. Arterioureteral fistulas are rare but life-threatening, with mortality rates ranging from 7% to 23%. Early recognition and prompt management are essential for preventing catastrophic consequences, including hypovolemic shock. However, recognition of an arterioureteral fistula requires a high index of clinical suspicion due to its rarity and the lack of a sensitive diagnostic method. Arterioureteral fistulas could be induced by traumatic events in patients who have a history of pelvic surgery, radiation, and prolonged placement of a ureteral stent. Endovascular stent graft placement could be a valid treatment option for arterioureteral fistulas involving the abdominal aorta.
키워드
Urinary Fistula; Hematuria; Stents; Endovascular Procedures; Aneurysm, False
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