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Inicio Actas Urológicas Españolas Hematuria por fístula arterioureteral. Tratamiento endovascular
Journal Information
Vol. 25. Issue 9.
Pages 668-671 (January 2001)
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Vol. 25. Issue 9.
Pages 668-671 (January 2001)
Hematuria por fístula arterioureteral. Tratamiento endovascular
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L.M. Marco pérez1, F. Vigués julia, E. Trilla herrera, A. Ponce campuzano, C. González satué, F. Aguiló lucia, N. Serrallach i milá
Servicio de Urología
J. Domínguez elias*
* Servicio de Radiodiagnóstico. Ciutat Sanitaria i Universitaria de Bellvitge. L´Hospitalet de Llobregat. Barcelona
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Resumen

Se presenta el caso clínico de una paciente con hematuria macroscópica anemizante, causada por la presencia de una fístula entre la arteria iliaca externa y el uréter. Tras su diagnóstico, se realizó un tratamiento mediante abordaje endovascular

Las fístulas arterioureterales son una rara entidad, que supone una urgencia vital. Su diagnóstico debe basarse en la sospecha clínica (falta de datos en las exploraciones complementarias). Su tratamiento clásico ha sido la cirugía abierta, pero el abordaje endovascular debe ser valorado dada su menor agresividad

Palabras clave:
Uréter
Fístula arterioureteral
Arteria iliaca
Abstract

Presentation of case of patient with macroscopic anemic hematuria caused for the presence of a fistula between the external iliac artery and the ureter. After the diagnosis, a treatment with endovascular manegement was made

The arterioureteral fistulae are a very rare entitie, which supposes a vital emergency. The diagnosis depend upon the clinical evidences (complementary explorations rarely porvide especific finings). Classic treatment is bases on open surgery, while endovascular treatment may be an alternative with less aggressiveness

Key words:
Ureter
Arterioureteral fistula
Iliac artery

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