Ureteroiliac Artery Fistula in a Young Woman with Short Bowel Syndrome for Radiation Enteritis

Ureteral-iliac artery fistula is a rare and potentially life-threatening complication, typically occurring after radiation therapy in already surgically treated cancer patients. This case report describes the diagnostic challenges and the successful management, with the positioning of an intra-arter...

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Bibliographic Details
Published in:Case Reports in Medicine 2010-01, Vol.2010 (2010), p.218-220-055
Main Authors: Santarpia, Lidia, Creta, Massimiliano, Bracale, Umberto Marcello, Ciccarelli, Roberto, Pasanisi, Fabrizio, Contaldo, Franco, Imbimbo, Ciro
Format: Article
Language:English
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Case Report
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Summary:Ureteral-iliac artery fistula is a rare and potentially life-threatening complication, typically occurring after radiation therapy in already surgically treated cancer patients. This case report describes the diagnostic challenges and the successful management, with the positioning of an intra-arterial prosthesis, of a fistula between the internal iliac artery and the left ureter presenting as massive hematuria in a young woman with history of total colectomy and pelvic radiotherapy for rectal cancer and subsequent wide ileal resections and bilateral ureteral stent positioning for radiation enteritis. Ureteroiliac artery fistulas require a prompt diagnosis and intervention, to avoid life threatening clinical events.
ISSN:1687-9627
1687-9635
DOI:10.1155/2010/287034