4
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Fístula ureteroiliaca como complicación de colocación de catéter JJ Translated title: Ureteroiliac fistula as a JJ catheter placement complication

      case-report

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Resumen Introducción: la colocación de un catéter JJ es una maniobra urológica habitual. Pese a su relativa sencillez, esta técnica puede asociar complicaciones. Caso clínico: se presenta un caso de fístula ureteroiliaca, una de las complicaciones más infrecuentes. Se trata de una mujer de 69 años con antecedentes de carcinoma de cérvix tratado con cirugía y radioterapia pélvica, atrofia obstructiva del riñón izquierdo, y atrapamiento ureteral derecho, que precisaba recambios periódicos de su catéter ureteral derecho. Durante el último recambio se objetivó sangrado activo y hematuria procedente del uréter. Tras estudio mediante TAC, ureterorrenoscopia y arteriografía se diagnosticó una fístula ureteroiliaca. Mediante punción percutánea ecoguiada femoral derecha, se implantó un stent recubierto de 8 x 57 mm (Begraft®) en la arteria iliaca externa derecha, con corrección instantánea del sangrado. Discusión: la fístula ureteroiliaca es una complicación inusual tras la colocación de un catéter JJ. Se ha realizado una revisión de casos publicados sobre esta patología y se observan antecedentes de historia quirúrgica vascular y/u oncológica y tratamiento radioterápico pélvico previo en todos ellos. Tras esta revisión se concluye que el tratamiento endovascular es de primera elección, pues se trata de un abordaje mínimamente invasivo que ofrece opciones de diagnóstico y tratamiento de manera rápida y eficaz.

          Translated abstract

          Abstract Introduction: the placement of a JJ catheter is a common urological maneuver. Despite its relative simplicity, this technique can have complications associated. Case report: we present a case of a 69-year-old woman who developed a ureteroiliac fistula, one of the rarest complications after the placement of a JJ catheter. She had a history of cervix carcinoma treated with surgery and pelvic radiotherapy, with only one functional kidney due to obstructive atrophy of the left kidney, and right ureteral obstruction, and she required periodic replacement of her right ureteral catheter. During the last replacement, active bleeding and hematuria coming from the right ureter was observed; the study was completed with CT, ureterorenoscopy and arteriography, diagnosing a right ureteroiliac fistula. Using ultrasound-guided right femoral percutaneous puncture, an 8 x 57 mm coated stent (Begraft®) was implanted in the right proximal external iliac artery, with instant correction of the bleeding. Discussion: ureteroiliac fistula is an unusual complication after the placement of a JJ catheter. We performed a review of published cases and history of pelvic surgery and/or radiotherapy was described in all of them. We can conclude that endovascular treatment is currently the first-line management of ureteroiliac fistula. It is a minimally invasive approach that offers fast and effective diagnostic and treatment options.

          Related collections

          Most cited references13

          • Record: found
          • Abstract: found
          • Article: not found

          Arterioureteral fistulas: unusual suspects-systematic review of 139 cases.

          An arterioureteral fistula (AUF) is a rare but life-threatening condition bordering on the expertise of the urologist, vascular surgeon, and interventional radiologist. We reviewed published cases in order to better recognize and treat patients with an AUF. Of all 139 patients, 13% died of an AUF-related cause; in this group, only 22% of the fistulas were recognized before treatment. The diagnosis AUF should be considered in patients with unexplained hematuria who have a history of pelvic cancer or vascular surgery. Angiography and ureteral contrast studies most often confirmed AUFs. Patients treated with endovascular technique had the most favorable outcome.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            Endovascular management and the risk of late failure in the treatment of ureteroarterial fistulas

            Ureteroarterial fistula (UAF) is a rare and life-threatening source of hematuria. A high index of suspicion is warranted for early diagnosis and timely intervention. Because of high perioperative risk and comorbidities in UAF patients, the endovascular approach has become preferred for repair. Infection can complicate this mode of therapy, and treatment with antibiotics is important. Herein we present five cases of secondary UAFs treated with stent graft alone or stent graft and embolization.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Ureteroarterial Fistulas After Robotic and Open Radical Cystectomy

              Abstract Ureteroarterial fistulas (UAFs) are defined as an abnormal communication between one of the major arteries and the ureter. Urologists most frequently encounter iatrogenic fistulas occurring in patients with a history of pelvic extirpative surgery, chronic ureteral catheterization, and history of pelvic radiation. We present two cases of UAFs in patients with no history of prior radiation, who underwent open radical cystectomy and robot-assisted radical cystectomy with intracorporeal ileal conduit. Both patients developed postoperative ureteroileal anastomotic leaks that were managed with indwelling ureteral catheters. Furthermore, both patients were having left-sided UAF after presenting with nonlife threatening gross hematuria, which became brisk and pulsatile during ureteral stent exchange. Endovascular stenting was performed in both patients with resolution of hemorrhage and full recovery. In one patient, nephrostomy tubes were placed and ureteral catheters were removed; the second patient was managed with continued ureteral catheterization without further episodes of hematuria.
                Bookmark

                Author and article information

                Journal
                angiologia
                Angiología
                Angiología
                Arán Ediciones S.L. (Madrid, Madrid, Spain )
                0003-3170
                1695-2987
                October 2021
                : 73
                : 5
                : 250-255
                Affiliations
                [1] Galdakao, Bizkaia orgnameHospital Universitario de Galdakao-Usansolo orgdiv1Servicio de Angiología, Cirugía Vascular y Endovascular España
                Article
                S0003-31702021000500007 S0003-3170(21)07300500007
                10.20960/angiologia.00308
                8dd4201d-791c-4c71-a90e-7710bb6f4821

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 21 April 2021
                : 07 April 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 13, Pages: 6
                Product

                SciELO Spain

                Categories
                Casos Clínicos

                JJ catheter complication,Complicación catéter JJ,Fístula ureteroiliaca,Iliac endoprosthesis,Ureteroiliac fistula,Endoprótesis iliaca

                Comments

                Comment on this article