A case report of a "smouldering" uretero-vascular fistula
Ferretti, S.; Maestroni, U.; Azzolini, N.; Cortellini, P.
Archivio Italiano di Urologia Andrologia Organo Ufficiale di Societa Italiana di Ecografia Urologica e Nefrologica 77(3): 151-152
2005
ISSN/ISBN: 1124-3562 PMID: 16372508 Document Number: 591772
Uretero-vascular fistulae are rare. As compared to aortic, uretero-iliac fistulae are by far more frequent according to a 1:8 ratio. We present one case of uretero-prosthetic fistula in a man operated upon the resection of an aortobisiliac aneurysm and Dacron prosthetic graft; six years later, a blunt trauma to the body was followed by a threatening shock, resistant to medical measures. Two subsequent emergency operations allowed to a difficult diagnosis and a life-saving repair of the fistula. Some hypotheses on the pathogenesis of the condition are discussed as well as its clinical problems.