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

  • Eugenio Di Grazia | eugeniodigrazia@hotmail.com U.O.C. di Urologia - ARNAS Garibaldi-Nesima, Catania, Italy.
  • Tiziana La Malfa Laboratorio Analisi - Casa di Cura Mater Dei, Catania, Italy.
  • Gherardo Gasso U.O.C. di Chirurgia Vascolare - ARNAS Garibaldi-Nesima, Catania, Italy.

Abstract

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.

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Published
2020-06-23
Info
Issue
Section
Case Reports
Keywords:
Idiopathic retroperitoneal fibrosis; Stent; Ureter; Uretero-arterial fistula
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How to Cite
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