Successful transcatheter arterial embolization for uretero-inferior epigastric arterial fistula: A rare complication of cutaneous ureterostomy.

Urology Case Reports
Rakuhei NakamaTatsushi Kobayashi

Abstract

A 70-year-old man presented with pulsatile bleeding upon changing his catheter for cutaneous ureterostomy. He was suspected to have a uretero-arterial fistula. Computed tomography showed an abnormally dilated right inferior epigastric artery, the suspected bleeding source. Angiography revealed a tortuous dilated branch from the inferior epigastric artery. Transcatheter arterial embolization was performed with a gelatin sponge and coil. He was discharged 15 days after the procedure. Uretero-arterial fistula is a rare but fatal complication among patients with long-term indwelling ureter catheters. An abnormal inferior epigastric artery surrounding the cutaneous ureterostomy should be considered a rare cause of uretero-arterial fistula.

References

Nov 16, 2005·Urology·Amy E KrambeckJoseph W Segura
Dec 15, 2007·The Journal of Urology·Roderick C N van den BerghTycho M T W Lock
Apr 14, 2009·Urology·Roderick C N van den BerghTycho M T W Lock
Apr 24, 2015·AJR. American Journal of Roentgenology·Anil Kumar PillaiSanjeeva P Kalva

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