Ureteral iliac artery fistula in idiopathic retroperitoneal fibrosis: A case report


Submitted: August 25, 2019
Accepted: September 21, 2019
Published: June 23, 2020
Abstract Views: 894
PDF: 439
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Authors

Ureter-arterial fistula (UAF) is an uncommon condition. The presentation is usually a life-threatening intermittent massive gross hematuria and the diagnosis is still a challenge for urologist. Idiopathic Retroperitoneal fibrosis (IRF) is a condition of unknown etiology characterized by a highly fibrotic retroperitoneal mass that frequently causes ureteral obstruction. To our knowledge we report the first case describing the UAF in a patient suffering from IRF. We hypothesize that inflammation and fibrosis resulted in fixation of the ureter to the adjacent artery causing a fistulous path. UAF was managed by deploying a 10 x 59 mm endo-graft at the intersection of common iliac artery bifurcation with the right ureter. Post treatment course was uneventful.


Di Grazia, E., La Malfa, T., & Gasso, G. (2020). Ureteral iliac artery fistula in idiopathic retroperitoneal fibrosis: A case report. Archivio Italiano Di Urologia E Andrologia, 92(2). https://doi.org/10.4081/aiua.2020.2.107

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