Ureteroarterial fistulas after radical pelvic surgery: pathogenesis, diagnosis, and therapeutic modalities

被引:18
作者
Escobar, P. F. [1 ]
Howard, J. L. [3 ]
Kelly, J. [2 ]
Roland, P. Y. [1 ]
Grendys, E. C. [1 ]
Dosoretz, D. E. [4 ]
Orr, J. W. [1 ]
机构
[1] Florida Gynecol Oncol, Ft Myers, FL 33901 USA
[2] 21st Century Oncol Inc, Ft Myers, FL USA
[3] Florida Radiol Consultants, Intervent Radiol, Ft Myers, FL USA
[4] Tennessee Valley Gynecol, Huntsville, AL USA
关键词
hematuria; radical pelvic surgery; ureteroarterial fistulas;
D O I
10.1111/j.1525-1438.2007.01079.x
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Ureteroarterial fistulas (UAF) are a rare but potentially life-threatening complication of intra-abdominal malignancy, typically occurring after vascular or pelvic surgery. Patients with a history of radical pelvic surgery, chronic indwelling ureteral stents, and prior pelvic radiation appear to be at increased risk. The predisposing risk factors suggest that gynecological oncologists are the likely specialty to face this problem and should be familiar with the clinical presentation and etiology of UAF. We present two such cases to illustrate these salient points of clinical diagnosis and management.
引用
收藏
页码:862 / 867
页数:6
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