A case report of interventional treatment of massive hemorrhage from left ureteral iliac artery fistula

VernacularTitle:介入治疗左输尿管髂总动脉瘘大出血1例报告
Author: Haozhe ZHANG ¹ ; Juanfang LIU ¹ ; Chaodi LI ¹ ; Su YAN ¹ ; Qiongfang CHANG ¹ ; Xinwei HAN ¹ ; Jianhao ZHANG ¹
Author Information

1. 郑州大学第一附属医院介入科，郑州　450052
Publication Type:Journal Article
Keywords: Ureteroiliac artery fistula; Abdominal aortic balloon occlusion; Film covered bracket
From: Chinese Journal of Urology 2024;45(12):949-951
CountryChina
Language:Chinese
Abstract: This article reports that a patient with bilateral ureterocutaneous stoma after radical cystectomy developed intermittent hematuria 2 years after surgery, and there were no abnormalities on bilateral renal artery and abdominal aortic angiography. After removal of the double J stent, a left common iliac artery ureteral fistula was seen on abdominal aortic angiography, and the patient immediately developed hemorrhagic shock. Abdominal aortic balloon occlusion and left common iliac artery stent grafting were performed in the emergency department. After the stent was deployed and the balloon deflated, no bleeding was observed, and the patient's heart rate and blood pressure stabilized. Follow-up angiography showed complete resolution of the fistula. This condition is rare and dangerous, but interventional treatment can quickly control bleeding, offering minimal surgical trauma and fast recovery.