Endovascular Treatment for Arterioureteral Fistula of the Abdominal Aorta: A Case Report and Literature Review
10.3348/jksr.2020.81.4.953
- Author:
Hyoung Nam LEE
1
;
Woong Hee LEE
Author Information
1. Department of Radiology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea
- Publication Type:Case Report
- From:Journal of the Korean Radiological Society
2020;81(4):953-957
- CountryRepublic of Korea
-
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.
