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- Title
Ureteral Perigraft Fistula.
- Authors
Deem, Samuel; Stone, Patrick; Schlarb, Chris
- Abstract
Ureteral injury following aortic surgery occurs in less than 1% of all cases. Ureteral-arterial fistulae rarely occur in the current literature and only in case reports. This case involves a suspected ureteral aortic graft fistula presenting with acute hematuria with distant history of redo aortic bifemoral graft for aortoenteric fistula. Cystoscopy with retrograde pyelogram was performed and demonstrated what appeared to be a fistula between the left ureter and the aortic graft with a proximal hydroureter and hydronephrosis. After a detailed review of the films, we diagnosed a more benign ureteral peri-graft fistula. Multidisciplinary management including urology and vascular surgery suggested conservative management. However, the patient later required more definitive therapy for his illness. This case demonstrates a ureteral perigraft fistula and displays how it appears radiographically. Here we present our experience with this new radiological diagnosis.
- Subjects
FISTULA; HUMAN abnormalities; URETERIC obstruction; HEMATURIA; SURGICAL complications; AORTA surgery
- Publication
Vascular & Endovascular Surgery, 2007, Vol 41, Issue 4, p352
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574407303175