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Summary
A rare complication of pelvic surgery is an arterioureteral fistula. This case report details a patient who experienced near-fatal bleeding from such a fistula, successfully treated with surgical repair and ureterostomy.
Area of Science:
- Urology
- Vascular Surgery
- Surgical Complications
Background:
- Total pelvic exenteration is a complex surgical procedure.
- Arterioureteral fistula is a rare but severe complication following pelvic surgery.
Purpose of the Study:
- To report a case of arterioureteral fistula after total pelvic exenteration.
- To describe the management and outcome of this rare complication.
Main Methods:
- Surgical intervention for a patient with arterioureteral fistula.
- Closure of the iliac artery rent.
- Creation of a cutaneous ureterostomy.
Main Results:
- The patient presented with near exsanguination and shock due to the fistula.
- Successful surgical repair of the arterioureteral fistula was achieved.
- The patient recovered following the intervention.
Conclusions:
- Arterioureteral fistula is a life-threatening complication requiring prompt surgical management.
- Surgical repair and ureterostomy can be effective in managing this condition.