Pseudoaneurysm associated with an arteriovesical fistula after bladder substitution surgery definitively treated with a covered stent: a report of 3 cases.

Abstract:

:A fistula between the iliac artery and a bladder pouch is a rare but potentially life-threatening condition. In 3 patients presenting with massive hematuria after urinary diversion, an iliac artery pseudoaneurysm was found on imaging studies. These pseudoaneurysms were considered to be associated with a fistula between artery and pouch, causing the hematuria. All patients were successfully treated with a covered stent to exclude the pseudoaneurysm and the arteriovesical fistula. Clinical follow-up of 10 weeks, 16 months, and 27 months, respectively, showed no residual hematuria. In addition, no clinical signs of stent graft infection or thrombosis were identified during follow-up. In conclusion, the placement of a covered stent is a valuable therapeutic treatment option in the management of hematuria due to an arteriovesical fistula after urinary diversion surgery.

journal_name

Vasc Endovascular Surg

authors

Haegeman S,Vaninbroukx J,Heye S,Joniau S,Van Poppel H,Oyen R,Maleux G

doi

10.1177/1538574413500724

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

652-5

issue

8

eissn

1538-5744

issn

1938-9116

pii

1538574413500724

journal_volume

47

pub_type

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