RESUMEN
One of the possible complications of chronic ureteral stenting is an artery-urinary tract fistula, although it is very rare. If it occurs, it is an emergency that needs surgery because of hemorrhage. We describe a case of an iliac-ileal conduit fistula, which is extremely rare, that was successfully treated by endovascular stent grafting.
Asunto(s)
Arteria Ilíaca , Derivación Urinaria/efectos adversos , Fístula Urinaria/etiología , Fístula Vascular/etiología , Anciano , Procedimientos Endovasculares/instrumentación , Humanos , Arteria Ilíaca/diagnóstico por imagen , Masculino , Stents , Resultado del Tratamiento , Derivación Urinaria/instrumentación , Fístula Urinaria/diagnóstico por imagen , Fístula Urinaria/terapia , Fístula Vascular/diagnóstico por imagen , Fístula Vascular/terapiaRESUMEN
To review the presentation, diagnosis and treatment of the renal artery aneurysms. Also, to report a non-described complication like the presence of an ureteroarterial fistula, its diagnosis, treatment and complications. METHODS: We report the case of a patient with a renal artery aneurysm that presents a ureteroarterial microfistula on a CT scan, his presenting symptoms, the diagnosis, treatment and management of the subsequent complications. RESULTS: Ureteroarterial fistula is an unusual complication of renal artery aneurysms. Currently, by the application of minimally invasive techniques and the use of new biodegradable materials we can treat a wide range of diseases endovascularly, although we often don´t know the complications that can result. CONCLUSIONS: Renal artery aneurysms are not a prevalent disease and sometimes not described complications like ureteroarterial fistula may occur. There is no clear consensus on the management and treatment, but minimally invasive endovascular techniques could represent the gold standard nowadays.
Asunto(s)
Aneurisma , Fístula , Enfermedades Ureterales , Aneurisma/complicaciones , Fístula/etiología , Humanos , Prevalencia , Arteria Renal/patología , Enfermedades Ureterales/etiologíaRESUMEN
OBJETIVO: Revisar la presentación, diagnóstico y tratamiento de los aneurismas renales. Así como, reportar una complicación no descrita anteriormente de dicha patología como sería la presencia de una fistula ureteroarterial con su diagnóstico, tratamiento y complicaciones. MÉTODOS: Presentamos el caso de una paciente con un aneurisma renal que presenta microfistulización ureteroarterial, su clínica de debut, diagnóstico, tratamiento y manejo de las posteriores complicaciones. RESULTADOS: La fístula ureteroarterial es una complicación inusual de los aneurismas de la arteria renal. Actualmente, mediante la aplicación de técnicas mínimamente invasivas y la utilización de nuevos materiales biodegradables se puede realizar el tratamiento de un amplio abanico de enfermedades de forma endovascular, a pesar de que muchas veces desconocemos las complicaciones que pueden conllevar. CONCLUSIONES: Los aneurismas renales son una enfermedad poco prevalente y en ocasiones se puede presentar alguna complicación no descrita anteriormente como es el caso de una fistula ureteroarterial. No existe un consenso claro en cuanto a su manejo y tratamiento pero las técnicas mínimamente invasivas de forma endovascular representan el gold estándar actualmente
OBJECTIVE: To review the presentation, diagnosis and treatment of the renal artery aneurysms. Also, to report a non-described complication like the presence of an ureteroarterial fistula, its diagnosis, treatment and complications. METHODS: We report the case of a patient with a renal artery aneurysm that presents a ureteroarterial microfistula on a CT scan, his presenting symptoms, the diagnosis, treatment and management of the subsequent complications. RESULTS: Ureteroarterial fistula is an unusual complication of renal artery aneurysms. Currently, by the application of minimally invasive techniques and the use of new biodegradable materials we can treat a wide range of diseases endovascularly, although we often don ́t know the complications that can result. CONCLUSIONS: Renal artery aneurysms are not a prevalent disease and sometimes not described complications like ureteroarterial fistula may occur. There is no clear consensus on the management and treatment, but minimally invasive endovascular techniques could represent the gold standard nowadays
