Ureteroiliac fistula: a case report review of the literature

Abstract

IntroductionUreteroiliac fistulas are rare but potentially life-threatening. Risk factors to develop a fistula are chronic indwelling ureteral stents, previous pelvic surgery and radiotherapy.Case presentationWe report a case of a patient with intermittent gross hematuria after previous abdominal surgery, radiotherapy and indwelling ureteric stents. After several diagnostic and therapeutic procedures an ureteroiliac fistula could be finally identified and treated by endovascular stenting.ConclusionUreteroiliac fistula should be considered in any patient with intermittent gross hematuria and any of the known risk factors.

‘Ooosh’ haematuria syndrome from eroded and kinked vascular graft in the bladder

“…Erosion or fistulation into adjacent gastrointestinal structures such as stomach or intestine is more common than into the genitourinary tract 4 . Fistulas as a result of degenerated artery and ureter or synthetic graft and ureter have been well described 5,6 . Erosion of prosthetic material into the bladder is well known, for example, synthetic slings for continence surgery and meshes used for hernia repairs 7,8 .…”

“…4 Fistulas as a result of degenerated artery and ureter or synthetic graft and ureter have been well described. 5,6 Erosion of prosthetic material into the bladder is well known, for example, synthetic slings for continence surgery and meshes used for hernia repairs. 7,8 The erosion of vascular prosthesis into the bladder, however, is very rare and the expected average time to secondary fistulation is unknown.…”

Pelvic Irradiation: A Rare Cause of Concomitant Radiation Cystitis and Uretero-Iliac Artery Fistula Causing Gross Hematuria and Hemorrhagic Shock

“…However, diagnosis can be elusive even when multiple imaging modalities are used because sensitivity is suboptimal [2]. The treatment of UIAF has evolved and now the vascular defect can be repaired primarily using embolization, ligation, or endovascular stenting [6]. A high mortality rate of approximately 7-23% has been described in the literature [4,7].…”

Tongue cleaner, an unusual foreign body in the urethra: A case report

“…[1][2][3][4][5] The most common causes of such incidents are psychiatric illness or intoxication, and autoerotic stimulation. 1,2 Most cases occur in adult males.…”