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Japanese Journal of Clinical Oncology
Year: 2010  |  Volume: 40  |  Issue: 3  |  Page No.: 267 - 270

Successful Management by Provocative Angiography and Endovascular Stent of Ureteroarterial Fistula in a Patient with a Long-term Indwelling Ureteral Stent

K Yamasaki, K Omori, E. I Takaoka, N Sekido, M Shigai, K Mori, M Minami, Y Watanabe, T Shimazui and H. Akaza    

Abstract:

We present the clinical course of a ureteroiliac arterial fistula in a patient who had been managed by ureteral stenting for 8 years for severe ureteral stricture after abdominoperineal resection with pelvic irradiation for advanced rectal cancer. A multidisciplinary team approach including provocative angiography and an endovascular stent saved the life of the patient. Ureteroarterial fistula is a rare complication of a long-term indwelling ureteral stent that is potentially fatal unless a prompt diagnosis and adequate therapy are provided. Heightened awareness and a high index of suspicion for this condition are required to make an early diagnosis.

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