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. 2014:2014:514625.
doi: 10.1155/2014/514625. Epub 2014 Nov 13.

Ureteroarterial fistula from ureteral stump: a challenging case

Pietro Pozzilli  1 , Massimo Lenti  2 , Stefano Mosca  1 , Elisabetta Nunzi  3 , Luigi Mearini  3
Affiliations

Ureteroarterial fistula from ureteral stump: a challenging case

Pietro Pozzilli et al. Case Rep Urol. 2014.

Abstract

Ureteroarterial fistula (UAF) is a relatively rare condition with about 150 cases reported in the literature. Since it is a potentially life-threatening condition, a prompt diagnosis and treatment are crucial. We present here a rare, challenging case of UAF diagnosed after left nephrectomy, thus involving the ureteral stump. The difficult diagnosis and treatment by contemporary use of endovascular stent placement and ureteral occlusion by mean of metallic coils and Onyx injection are discussed.

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Figures

Figure 1
Figure 1
Contrast injection in left ureteral stump (arrowhead) showing extravasation in left common iliac artery (arrow).
Figure 2
Figure 2
Deployment of a stent-graft on left common iliac artery.
Figure 3
Figure 3
Occlusion of ureteral stump by mean of metallic coils (arrow), followed by Onyx injection.
See this image and copyright information in PMC

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