髂总动脉输尿管瘘1例报告  

Common iliac artery ureteral fistula:a case report

作　　者：李又空[1] 袁超 余虓[2] 李孟博 张先觉[1] 丁树平[1] 王建国[1] 胡圣国[1] 苏小康[1] 郭义 李绪 Li Youkong;Yuan Chao;Yu Xiao;Li Mengbo;Zhang Xianjue;Ding Shuping;Wang Jianguo;Hu Shengguo;Su Xiaokang;Guo Yi;Li Xu(Department of Urology,Jingzhou Central Hospital,Jingzhou 434020,China;Department of Urology,Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science&Technology,Wuhan 430030,China)

机构地区：[1]荆州市中心医院泌尿外科,荆州434020 [2]华中科技大学同济医学院附属同济医院泌尿外科,武汉430030

出　　处：《中华泌尿外科杂志》2023年第10期789-790,共2页Chinese Journal of Urology

摘　　要：髂总动脉输尿管瘘是一种罕见但可能危及生命的疾病,且临床诊断较困难。本文报道1例骼总动脉输尿管瘘患者,因输尿管皮肤造口出血1d人院。患者4年前因膀胱癌行根治性膀胱切除术+双侧输尿管皮肤造口术,术后有放疗史,一直留置双侧输尿管支架管。行血管造影检查示左侧总动脉假性动脉瘤,考虑左侧髂总动脉输尿管瘘,行左侧髂总动脉覆膜支架置入术。术后患者恢复良好,随访6个月无明显血尿。Common iliac artery ureteral fistula is a rare but potentially life-threatening disease which is difficult to diagnose clinically.This paper reports a case of common iliac artery ureteral fistula.The patient was admitted to our hospital due to ureterostomy bleeding for one day.He underwent radical cystectomy and bilateral ureterostomy for bladder cancer 4 years ago,and also underwent radiotherapy and bilateral ureteral stents indwelling affer the operation.Angiography revealed a left common iliac artery pseudoaneurysm,and a left common iliac artery ureteral fistula was considered.The left common iliac artery stent-graft was implanted.The patient recovered well after the operation,and there was no obvious hematuria during follow-up period of 6 months.

关 键 词：动脉输尿管瘘 动脉瘤 假性 血尿 血管腔内技术 

分 类 号：R699.4[医药卫生—泌尿科学]