Ureteroarterial fistula: diagnosis and management

Anil K umar Pillai, Matthew E. Anderson, Mark A. Reddick, Patrick D. Sutphin, Sanjeeva P. Kalva

Research output: Contribution to journalArticlepeer-review

42 Scopus citations

Abstract

OBJECTIVE: Ureteroarterial fistula (UAF) is an uncommon condition with only approximately 150 cases reported in the literature. Patients typically present with hematuria in the setting of prolonged ureteral stenting, prior pelvic surgery, malignancy, or radiation. Presentation can vary from intermittent hematuria to life-threatening hemorrhagic shock.

CONCLUSION: Recognizing this condition in a prototypical patient is essential for accurate diagnosis and management. Angiography yields the highest diagnostic benefit, and arterial stent-graft placement is the treatment of choice.

Original languageEnglish (US)
Pages (from-to)W592-W598
JournalAmerican Journal of Roentgenology
Volume204
Issue number5
DOIs
StatePublished - May 1 2015

Keywords

  • pelvic malignancy
  • radiation
  • stent
  • ureter
  • ureteroarterial fistula

ASJC Scopus subject areas

  • General Medicine

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