Faculty, Staff and Student Publications
Publication Date
5-1-2024
Journal
Urology Case Reports
Abstract
We report a patient with history of recurrent invasive rectal adenocarcinoma complicated by obstructive uropathy requiring nephro-ureteral catheter placement. Two years later during a regular catheter exchange, the patient developed unusually bloody urine raising suspicion for possible vascular injury. CT angiogram and conventional angiogram were negative. However, an antegrade nephrostogram revealed a fistulous communication between the right ureter and the right internal iliac artery. Subsequently, the artery was sacrificed using detachable coils. We discuss the rare encounter of a silent arterio-ureteral fistula, the value of antegrade nephrostogram as a diagnostic tool, and the management options in such scenario.
DOI
10.1016/j.eucr.2024.102712
PMID
38623493
PMCID
PMC11016575
PubMedCentral® Posted Date
March 2024
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
