RESUMO
OBJECTIVE: Ureteral-iliac artery fistula is a rare condition. We perform a bibliographic review and report a case of ureter-iliac artery fistula reviewing its major differential diagnosis. METHODS: This case-study describes a patient with massive hematuria that presented a ureter-iliac artery fistula secondary to spontaneous rupture of an internal iliac artery aneurysm. RESULTS: 86 -year-old male patient with history of previous surgery for aneurysm and ureteral catheterization. CONCLUSIONS: This difficult diagnosis should be thought of in a patient with massive macroscopic hematuria and previous vascular surgery. The treatment is always surgery.
Assuntos
Aneurisma Roto/complicações , Hematúria/etiologia , Aneurisma Ilíaco/complicações , Artéria Ilíaca , Doenças Ureterais/complicações , Fístula Urinária/complicações , Fístula Vascular/complicações , Idoso de 80 Anos ou mais , Humanos , Masculino , Ruptura EspontâneaRESUMO
OBJETIVO: La fístula entre uréter y arteria iliaca es una patología poco frecuente. Revisamos la literatura y aportamos un caso clínico que puede plantear problemas de diagnóstico diferencial con otras entidades patológicas. MÉTODOS: Presentamos un caso de hematuria masiva por fístula arterio-ureteral debida a la rotura espontánea de aneurisma de la arteria iliaca interna. RESULTADOS: El cuadro debutó con hematuria masiva en un varón de 86 años de edad con antecedentes de cirugía aneurismática y cateterismo ureteral retrógrado. CONCLUSIÓN: El diagnóstico es difícil y se debe sospechar en paciente que inician un cuadro de hematuria macroscópica masiva y que tengan antecedentes de cirugía vascular. La única posibilidad terapéutica es quirúrgica
OBJECTIVE: Ureteral-iliac artery fistula is a rare condition. We perform a bibliographic review and report a case of ureter-iliac artery fistula reviewing its major differential diagnosis. METHODS: This case-study describes a patient with massive hematuria that presented a ureter-iliac artery fistula secondary to spontaneous rupture of an internal iliac artery aneurysm. RESULTS: 86 -year-old male patient with history of previous surgery for aneurysm and ureteral catheterization. CONCLUSIONS: This difficult diagnosis should be thought of in a patient with massive macroscopic hematuria and previous vascular surgery. The treatment is always surgery
