Successful bilateral ureteral occlusion using liquid embolization for anastomotic insufficiency and insufficiency of an ileal conduit

Background

Rectovesical fistulas pose a surgical challenge in cases of high-grade/infiltrative endometrial carcinoma or bladder carcinoma and may require construction of an ileal conduit. This situation often results in an extended, complicated postoperative course with, for example, recurring pyelonephritis, wound-healing disorders, and urine leakage into the subcutaneous fatty tissue or the abdominal cavity [1]. Interventional occlusion of the ureter, for example, by gluing is an established treatment method, especially when surgical options are limited, or the conditions and postoperative wound healing are considerably impaired [1] [2] [3] [4].

Lava Liquid Embolic System used in the case presented here is a liquid embolizing agent for the intravascular treatment of peripheral vascular hemorrhage and has already been shown to be effective in embolizing arteriovenous malformations [5].

Publikationsverlauf

Eingereicht: 12. März 2025

Angenommen nach Revision: 11. Juli 2025

Artikel online veröffentlicht:
08. September 2025

• References

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• 5 Arslan B, Razavi MK, Siskin G. et al. The LAVA Study: A Prospective, Multicenter, Single-Arm Study of a Liquid Embolic System for Treatment of Peripheral Arterial Hemorrhage. J Vasc Interv Radiol 2025; 36: 436-445