[Hematuria after ureteral-iliac aneurysm rupture]
Alberto Palacios1, Pedro Massó, Luis Osorio
1Servicio de Urología, Hospital General de Santo Antonio, Porto, Portugal. aphmmx5@hotmail.com
Objective:
Ureteral-iliac artery fistula is a rare condition. We perform a bibliographic review and report a case of ureter-iliac artery fistula reviewing its major differential diagnosis.
Methods:
This case-study describes a patient with massive hematuria that presented a ureter-iliac artery fistula secondary to spontaneous rupture of an internal iliac artery aneurysm.
Results:
86 -year-old male patient with history of previous surgery for aneurysm and ureteral catheterization.
Conclusions:
This difficult diagnosis should be thought of in a patient with massive macroscopic hematuria and previous vascular surgery. The treatment is always surgery.
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