Rupture of an Aortic Anastomotic Aneurysm Into a Ureter

Georgopoulos, Sotiris; Arvanitis, Dimitrios P.; Tekerlekis, Panagiotis; Chronopoulos, Anastasios; Kostakopoulos, M.

doi:10.1053/ejvx.2001.0021

Cited by 1 publication

(3 citation statements)

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“…[1][2][3][4][5] Only ureterography and selective iliac arteriography have been relatively successful in identifying the fistula; however, there are a few cases with sudden major bleeding such as in our patient. 4,[6][7][8] Keller et al 6 reported that 89% of patients with the correct diagnosis recovered and were discharged from the hospital; in contrast, there was a 52% mortality rate associated with an unsuspected or undiagnosed ureteroarterial fistula.…”

Section: Discussionmentioning

confidence: 99%

“…Extra-anatomical arterial reconstruction and nephrectomy or nephrostomy were added if required. 2,3,5 Some authors recommend the use of transarterial embolization of the arteries with extra-anatomical bypass. 4,6 One of the most noteworthy postoperative complications of aortoureteric fistula is local infection, especially when artificial materials are used.…”

Section: Discussionmentioning

confidence: 99%

“…9,10 As countermeasures, the use of omental pedicles or rifampicin-impregnated graft were reported. 1,5,6 The treatment of massive hemorrhage from an aortoureteric fistula presents a different challenge. It is necessary to control bleeding immediately to maintain blood pressure.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Endovascular Treatment of Aortoureteric Fistula

Ota¹,

Tsuji²,

Kawasaki³

et al. 2005

Journal of Endovascular Therapy

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ࡗ ࡗPurpose: To report successful endovascular treatment of massive hemorrhage from an aortoureteric fistula. Case Report: An 82-year-old man who had undergone total cystectomy and bilateral ureterostomy for bladder cancer was transferred with massive hemorrhage from the ureterostomy. Angiography demonstrated an aortoureteric fistula between the terminal aorta and the left ureter. The patient had pancytopenia from unknown causes on admission, so a stent-graft made from a Gianturco Z-stent covered with Dacron graft was implanted; complete hemostasis was obtained immediately. He died of coexistent plasma cell leukemia 42 days after the operation; however, complete hemostasis had been maintained, and infection around the stent-graft was not recognized at autopsy. Conclusions: Stent-graft implantation can be a useful therapy for control of massive bleeding from an aortoureteric fistula. J Endovasc Ther 2005;12:411-413

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