Jun-Li Wei, MD, Chief Doctor, Professor, Department of Urology, Xingtai People's Hospital, Xiangdu North Road, Xingtai 054000, Hebei Province, China. xtweijunli@sina.com
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Dec 6, 2022; 10(34): 12711-12716 Published online Dec 6, 2022. doi: 10.12998/wjcc.v10.i34.12711
Ureteral- artificial iliac artery fistula: A case report
Tao Feng, Xing Zhao, Lei Zhu, Wei Chen, Yan-Lin Gao, Jun-Li Wei
Tao Feng, Lei Zhu, Yan-Lin Gao, Jun-Li Wei, Department of Urology, Xingtai People's Hospital, Xingtai 054000, Hebei Province, China
Xing Zhao, Department of Emergency, Xingtai Pepole's Hospital, Xingtai 054000, Hebei Province, China
Wei Chen, Department of Radiology, Xingtai People's Hospital, Xingtai 054000, Hebei Province, China
Author contributions: Feng T and Zhu L contributed to conceptualization, Methodology; Gao YL contributed to data curation, Writing- Original draft preparation; Chen W contributed to Investigation; Wei JL contributed to supervision; Zhao X contributed to writing- reviewing and editing.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jun-Li Wei, MD, Chief Doctor, Professor, Department of Urology, Xingtai People's Hospital, Xiangdu North Road, Xingtai 054000, Hebei Province, China. xtweijunli@sina.com
Received: August 18, 2022 Peer-review started: August 18, 2022 First decision: October 12, 2022 Revised: October 25, 2022 Accepted: October 31, 2022 Article in press: October 31, 2022 Published online: December 6, 2022 Processing time: 106 Days and 11.9 Hours
Abstract
BACKGROUND
Ureteral-iliac artery fistula is a rare disease resulting from the pathological connection between the ureter and iliac artery, with artificial iliac artery-ureteral fistula being rarer. Iliac artery ureteral fistula is challenging to diagnose, and the misdiagnosis and mortality rates are high.
CASE SUMMARY
A case of artificial iliac artery ureteral fistula was reported in this paper. The patient was a 69-year-old male with paroxysmal painless hematuria. The artificial iliac artery ureteral fistula was diagnosed by angiography. The hematuria was stopped after intravascular embolization, and no bleeding occurred after 6 months of follow-up.
CONCLUSION
Ureteral arterial fistula should be considered when inconspicuous hematuria with previous iliac vessels is encountered in addition to local ureteral surgery history. A rapid endovascular approach is recommended for fistula identification.
Core Tip: Ureteral-iliac artery fistula is a rare disease resulting from the pathological connection between the ureter and iliac artery, with artificial iliac artery-ureteral fistula being rarer. Iliac artery ureteral fistula is challenging to diagnose, and the misdiagnosis and mortality rates are high. A case of artificial iliac artery ureteral fistula was reported in this paper. The patient was a 69-year-old male with paroxysmal painless hematuria. The artificial iliac artery ureteral fistula was diagnosed by angiography. The hematuria was stopped after intravascular stent implantation, and no bleeding occurred after 4 mo of follow-up.
