Endovascular Management of Ureteroarterial Fistula: A Rare Potentially Life Threatening Cause of Hematuria

Authors

  • Alexander Copelan
  • Monzer Chehab
  • Charles Cash
  • Howard Korman
  • Purushottam Dixit

DOI:

https://doi.org/10.3941/jrcr.v8i7.1879

Keywords:

Ureteroarterial fistula, intermitted hematuria, selective iliac angiography, colovesical fistula

Abstract

Ureteroarterial fistula is a rare, potentially life-threatening cause of hematuria characterized by an abnormal channel between a ureter and artery.  The rarity of this condition, complexity of predisposing risk factors and intermittence of symptoms may delay or obscure its diagnosis. With a high index of suspicion and careful angiographic evaluation, embarking on this condition is not only possible but sets the stage for curative intervention. We report a case of a ureteroarterial fistula presenting with intermittent hematuria, successfully diagnosed at angiography and managed with endovascular stent graft placement.

Author Biographies

Alexander Copelan

Resident Physician PGY2 

 

Department of Diagnostic and Interventional Radiology, Oakland University William Beaumont School of Medicine

 

Monzer Chehab

Resident Physician, PGY3

Department of Diagnostic and Interventional Radiology, Oakland University William Beaumont School of Medicine

Charles Cash

Interventional Radiology Fellow

 

Department of Diagnostic and Interventional Radiology, Oakland University William Beaumont School of Medicine

Howard Korman

Attending Urologist

Department of Urology, Oakland University William Beaumont School of Medicine

  

Purushottam Dixit

Attending Physician

Department of Diagnostic and

Interventional Radiology,

Oakland University William Beaumont

School of Medicine

  

Published

2014-07-26

Issue

Section

Interventional Radiology