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KMID : 1103720200810040953
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Journal of the Korean Society of Radiology
2020 Volume.81 No. 4 p.953 ~ p.957
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Endovascular Treatment for Arterioureteral Fistula of the Abdominal Aorta: A Case Report and Literature Review
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Lee Hyoung-Nam
Lee Woong-Hee
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Abstract
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We present a rare case demonstrating successful endovascular management of an arterioureteral fistula involving the abdominal aorta. Arterioureteral fistulas are rare but life-threatening, with mortality rates ranging from 7% to 23%. Early recognition and prompt management are essential for preventing catastrophic consequences, including hypovolemic shock. However, recognition of an arterioureteral fistula requires a high index of clinical suspicion due to its rarity and the lack of a sensitive diagnostic method. Arterioureteral fistulas could be induced by traumatic events in patients who have a history of pelvic surgery, radiation, and prolonged placement of a ureteral stent. Endovascular stent graft placement could be a valid treatment option for arterioureteral fistulas involving the abdominal aorta.
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KEYWORD
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Urinary Fistula, Hematuria, Stents, Endovascular Procedures, Aneurysm, False
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