Primary uretero-iliac fistula: the unusual source of haematuria

Uretero-iliac fistula is a rare cause of frank haematuria. The aetiology of such fistula is commonly iatrogenic. We present a unique case of a primary aorto-iliac fistula in the absence of an aneurysm or arteriovenous malformation. The diagnosis was demonstrated by ureteroscopy and real-time retrogr...

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Bibliographic Details
Published in:International urology and nephrology 2007-09, Vol.39 (3), p.751-753
Main Authors: Khong, Tak Loon, Winstanley, Virginia, Lee, George, Christmas, Tim, Ramsay, Jonathan
Format: Article
Language:English
Subjects:
Aged
Constriction, Pathologic
Embolization, Therapeutic
Hematuria - etiology
Humans
Iliac Artery
Ligation
Male
Treatment Failure
Ureter - pathology
Urinary Fistula - complications
Urinary Fistula - therapy
Vascular Fistula - complications
Vascular Fistula - therapy
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Summary:Uretero-iliac fistula is a rare cause of frank haematuria. The aetiology of such fistula is commonly iatrogenic. We present a unique case of a primary aorto-iliac fistula in the absence of an aneurysm or arteriovenous malformation. The diagnosis was demonstrated by ureteroscopy and real-time retrograde ureterogram. Multiple arterial embolisation of the fistula had failed, and the patient underwent a successful ureterolysis and ligation of fistula. We demonstrate the diagnostic difficulties and treatment dilemma of such rare cause of haematuria.
ISSN:0301-1623
1573-2584
DOI:10.1007/s11255-006-9130-5