Arterioureteral Fistula. An Unusual Cause of Aortofemoral Bypass Infection. A Case Report

We report a case of arterioureteral fistula after aortobifemoral bypass surgery and prolonged bilateral double J stents due to ureteral stenosis. A 70-year-old woman presented with a non-tender mass in the left groin and a single episode of haematuria 2 months earlier. A Computed Tomography (CT) rev...

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Bibliographic Details
Published in:Acta chirurgica belgica 2012, Vol.112 (1), p.71-73
Main Authors: ELENS, M, DAENEN, G, HOUTHOOFD, S, DAENENS, K, FOURNEAU, I
Format: Article
Language:English
Subjects:
Aged
Aorta, Abdominal - surgery
Aortic Aneurysm, Abdominal - surgery
Biological and medical sciences
Blood Vessel Prosthesis - adverse effects
Female
Femoral Artery - surgery
General aspects
Humans
Hydronephrosis - etiology
Hydronephrosis - surgery
Medical sciences
Nephrectomy
Prosthesis-Related Infections - etiology
Ureteral Diseases - complications
Ureteral Diseases - surgery
Urinary Fistula - complications
Urinary Fistula - surgery
Vascular Fistula
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Summary:We report a case of arterioureteral fistula after aortobifemoral bypass surgery and prolonged bilateral double J stents due to ureteral stenosis. A 70-year-old woman presented with a non-tender mass in the left groin and a single episode of haematuria 2 months earlier. A Computed Tomography (CT) revealed a pseudoaneurysm of the left distal suture of the graft. Surgical repair was performed. Because of suspicion of infection the entire aortobifemoral graft was removed and replaced by an autologous venous aortofemoral bypass to the right groin and femorofemoral crossover bypass from the right to the left. During surgery an arterioureteral fistula could be visualized. The urologists performed a left nephroureterectomy of the afunctional left kidney. The further postoperative course was uneventful during the 10 months of follow up.
ISSN:0001-5458
DOI:10.1080/00015458.2012.11680799