Ureteroiliakale Fistel als eine Urologische Notfallsituation

Zusammenfassung

Eine ureteroiliakale Fistel stellt eine urologische Notfallsituation mit erheblicher Mortalität dar. In der vorliegenden Arbeit präsentieren wir 2 Fälle einer ureteroiliakale Fistel. Den Goldstandard in der Behandlung dieser Erkrankung stellt heutzutage die minimalinvasive endovaskuläre Therapie dar. Voraussetzung für eine optimale Behandlung ist ein multidisziplinäres Team mit einer raschen Verfügbarkeit von Radiologie, Gefäßchirurgie, Urologie und Anästhesie.

Abstract

Uretero-iliac artery fistulae represent a urological emergency with considerable mortality. We present 2 cases of a uretero-iliac artery fistula. Nowadays, minimally-invasive endovascular therapy seems to be the treatment of choice. For an optimal outcome, a multidisciplinary team with imminent availability of radiology, vascular surgery, urology and anaesthesia is required.

Schlüsselwörter

Hämaturie - Ureteroiliakale Fistel - Angiographie - Endovaskuläre Therapie - Ureteroiliacale Fistel

Keywords

haematuria - ureteral stricture - angiography - endovascular surgery - uretero-iliac artery fistula

Publication History

Article published online:
19 November 2020

• Literatur

• 1 Gassmann A. Zur Histologie der Röntgenulcera. Fortschr Geb Röntgenstr 1899; 2: 199-207
• 2 Moschcowitz AV. IX. Simultaneous Ligation of Both External Iliac Arteries for Secondary Hemorrhage. Ann Surg 1908; 48: 872-875 DOI: 10.1097/00000658-190812000-00009.
• 3 Luther B, von Lilien-Waldau V, Mamopoulos A. et al. [Ureteroarterial fistula - pathogenesis, diagnostics, and therapeutic outcome]. Aktuelle Urol 2014; 45: 204-208 DOI: 10.1055/s-0034-1376953.
• 4 Das A, Lewandoski P, Laganosky D. et al. Ureteroarterial fistula: A review of the literature. Vascular 2016; 24: 203-207 DOI: 10.1177/1708538115585261.
• 5 Turo R, Hadome E, Somov P. et al. Uretero-Arterial Fistula - Not So Rare?. Curr Urol 2018; 12: 54-56 DOI: 10.1159/000489419.
• 6 Pillai AK, Anderson ME, Reddick MA. et al. Ureteroarterial fistula: diagnosis and management. AJR Am J Roentgenol 2015; 204: W592-598 DOI: 10.2214/AJR.14.13405.
• 7 Keller FS, Barton RE, Routh WD. et al. Gross hematuria in two patients with ureteral-ileal conduits and double-J stents. J Vasc Interv Radiol 1990; 1: 69-77 ; discussion 77-69 DOI: 10.1016/s1051-0443(90)72505-5.
• 8 van den Bergh RC, Moll FL, de Vries JP. et al. Arterioureteral fistulas: unusual suspects-systematic review of 139 cases. Urology 2009; 74: 251-255 DOI: 10.1016/j.urology.2008.12.011.
• 9 Escobar PF, Howard JL, Kelly J. et al. Ureteroarterial fistulas after radical pelvic surgery: pathogenesis, diagnosis, and therapeutic modalities. Int J Gynecol Cancer 2008; 18: 862-867 DOI: 10.1111/j.1525-1438.2007.01079.x.
• 10 Quillin SP, Darcy MD, Picus D. Angiographic evaluation and therapy of ureteroarterial fistulas. AJR Am J Roentgenol 1994; 162: 873-878 DOI: 10.2214/ajr.162.4.8141010.
• 11 Fox JA, Krambeck A, McPhail EF. et al. Ureteroarterial fistula treatment with open surgery versus endovascular management: long-term outcomes. J Urol 2011; 185: 945-950 DOI: 10.1016/j.juro.2010.10.062.
• 12 Meecham L, Koo V, Rajjayabun P. Uretero-iliac artery aneurysm fistula: A rare but fatal cause of haematuria. J Surg Case Rep 2012; 2012: 16 DOI: 10.1093/jscr/2012.8.16.
• 13 Krambeck AE, DiMarco DS, Gettman MT. et al. Ureteroiliac artery fistula: diagnosis and treatment algorithm. Urology 2005; 66: 990-994 DOI: 10.1016/j.urology.2005.05.036.
• 14 Subiela JD, Balla A, Bollo J. et al. Endovascular Management of Ureteroarterial Fistula: Single Institution Experience and Systematic Literature Review. Vasc Endovascular Surg 2018; 52: 275-286 DOI: 10.1177/1538574418761721.
• 15 Yang H, Rios R, Lombardi J. et al. Uretero-Arterio-Enteric Fistula Formation and Stent Thrombosis After Endovascular Treatment of Ureteroarterial Fistula: A Case Report and Review of Literature. J Endourol Case Rep 2017; 3: 173-175 DOI: 10.1089/cren.2017.0108.
• 16 Okada T, Yamaguchi M, Muradi A. et al. Long-term results of endovascular stent graft placement of ureteroarterial fistula. Cardiovasc Intervent Radiol 2013; 36: 950-956 DOI: 10.1007/s00270-012-0534-6.