Successful Treatment of an Aorto-Ileal-Conduit Fistula with an Endovascular Stent Graft: Report of a Case

Abstract

A 55-year-old man presented with a massive hemorrhage from the ileal conduit of the left ureter. He had previously undergone a total pelvic exenteration with ileal conduit construction of the ureters due to rectal carcinoma. A right ureteroarterial fi stula developed, and he underwent an excision of the right common iliac artery with a femorofemoral bypass and a right cutaneous ureterostomy. Seven months later, a pseudoaneurysm developed at the aortic stump, followed by an aorto-ileal-conduit fi stula. The patient was treated successfully with endovascular stent grafting and has since showed a good recovery no sign of graft infection or a recurrence of hematuria at the 10-month follow-up.

Iliac-Ileal Conduit Fistula

“…Moreover, a fistula between the iliac artery and the ileal conduit is even unusual, with only a few reported cases. 2,3…”

Report of a rare fistula between a Studer neobladder and external iliac artery

“…5 Less commonly reported are cases of fistulas between urinary conduits and arteries. [6][7][8][9][10] In a review of 80 cases of ureterovascular fistulas, Bergqvist and colleagues reported that 36% occurred in the setting of ileal conduits, suggesting even when a urinary diversion is present, a fistula to the ureter is more likely. 11 Certainly, the least reported type of fistula is one between a neobladder and artery.…”

Endovascular treatment of an aortobronchial fistula caused by a distal aortic arch mycotic aneurysm: Report of a case

“…[1][2][3][4][5] Stent grafting for mycotic aortic aneurysm has been reported in several articles. [6][7][8][9][10][11][12] We report a case of stent grafting as bridge treatment before a radical operation. Although the infection recurred 7 months after stent grafting, we performed graft replacement successfully using rifampicin-soaked gelatin sealed polyester graft and omentopexy, as in situ treatment.…”