6533b871fe1ef96bd12d10be

RESEARCH PRODUCT

Ureteroiliac Artery Fistula in a Young Woman with Short Bowel Syndrome for Radiation Enteritis

Umberto BracaleMassimiliano CretaFabrizio PasanisiF. ContaldoCiro ImbimboRoberto CiccarelliLidia Santarpia

subject

medicine.medical_specialtymedicine.medical_treatmentFistulalcsh:MedicineCase Reportshort bowel syndromeSettore MED/22 - Chirurgia Vascolaremedicine.arterymedicineRadiation Enteritisbusiness.industrylcsh:RUreteroiliac artery fistularadiation enteritis.StentGeneral Medicinemedicine.diseaseShort bowel syndromeHematuria Radiation Enteritis Short Bowel Syndrome Ureteroarterial fistula.Internal iliac arterySurgeryRadiation therapymedicine.anatomical_structureComplicationbusinessArtery

description

Ureteral-iliac artery fistula is a rare and potentially life-threatening complication, typically occurring after radiation therapy in already surgically treated cancer patients. This case report describes the diagnostic challenges and the successful management, with the positioning of an intra-arterial prosthesis, of a fistula between the internal iliac artery and the left ureter presenting as massive hematuria in a young woman with history of total colectomy and pelvic radiotherapy for rectal cancer and subsequent wide ileal resections and bilateral ureteral stent positioning for radiation enteritis. Ureteroiliac artery fistulas require a prompt diagnosis and intervention, to avoid life threatening clinical events.

10.1155/2010/287034http://europepmc.org/articles/PMC2838412