Uretero-iliac artery fistula: an uncommon life-threatening cause of hematuria. A case report

Abstract

Uretero-arterial fistula (UAF) is an uncommon but potentially life-threatening condition that usually manifests as hematuria. We report a new case of UAF presenting with massive bleeding and hypovolemic shock in a patient with a history of vascular prosthetic surgery and long-term ureteral stenting for urinary lithiasis. Recognizing this condition is difficult but crucial for a prompt diagnosis and appropriate treatment. Angiography offers the highest diagnostic benefit and arterial stent-graft placement is nowadays the treatment of choice. In our patient early clinical suspicion made curative endovascular treatment possible in an effective and safe way.

Keywords

• uretero-arterial fistula
• haematuria: ureteral stenting