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タイトル: | 尿管外腸骨動脈瘻の1例 |
その他のタイトル: | Uretero-external iliac artery fistula: a case report |
著者: | 川端, 岳 山中, 望 下垣, 博義 梅津, 敬一 脇田, 昇 |
著者名の別形: | KAWABATA, Gaku YAMANAKA, Nozomu SHIMOGAKI, Hiroyoshi UMEZU, Keiichi WAKITA, Noboru |
キーワード: | Uretero-arterial fistula Ureteral stent |
発行日: | Nov-1998 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 44 |
号: | 11 |
開始ページ: | 829 |
終了ページ: | 832 |
抄録: | We report a case of uretero-external iliac artery fistula. A 60-year-old female was referred to our hospital complaining of intermittent gross macrohematuria. She had undergone radical hysterectomy, radiation therapy and chemotherapy for advanced cervical cancer 2 years ago. The patient had a 7 Fr ureteral double-J stent for left hydronephrosis. Retrograde urography showed a filling defect (8 mm in diameter) of the left ureter. A contrast-enhanced computed tomographic scan showed left hydronephrosis and hydroureter but no evidence of fistula formation or extravasation. A pelvic arteriography revealed a pseudoaneurysm of the left external iliac artery at the crosspoint between the left ureter and the iliac artery. Surgical repair of the left uretero-external arterial fistula was successfully performed as well as left nephroureterectomy. The possibility of fistula formation between ureter and artery should be kept in mind in patients with long-term indwelling ureteral stents and history of radiation therapy. |
URI: | http://hdl.handle.net/2433/116286 |
PubMed ID: | 9893232 |
出現コレクション: | Vol.44 No.11 |
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