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[Posttraumatic hematuria associated with pelvic arteriovenous fistula]
J M Fernández Gómez1, F J Regadera Sejas, S Scaf Barmadah
1Servicio de Urología, Hospital Ntra. Sra. de Covadonga, Oviedo, Asturias.
Objective:
To describe a patient with severe hematuria of late onset and pelvic arteriovenous fistula secondary to pelvic trauma.
Methods/Results:
A patient with multiple fracture of the pelvis and sacrum from a road traffic accident presented severe posttraumatic hematuria associated with pelvic arteriovenous fistula. The fistula was resolved by selective embolization and the hematuria immediately ceased.
Conclusion:
Patients with severe or long-lasting hematuria after pelvic trauma and no injuries to the urinary system, warrant arteriographic evaluation to discard vascular lesions. If present, these lesions are generally easily resolved by selective embolization.