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Case Reports in Medicine
Volume 2010 (2010), Article ID 287034, 3 pages
http://dx.doi.org/10.1155/2010/287034
Case Report

Ureteroiliac Artery Fistula in a Young Woman with Short Bowel Syndrome for Radiation Enteritis

1Dipartimento di Medicina Clinica e Sperimentale, AOU Federico II, 80131 Napoli, Italy
2Dipartimento di Urologia, AOU Federico II, 80131 Napoli, Italy
3Dipartimento di Chirurgia Vascolare, Università di Palermo, 90133 Palermo, Italy
4Dipartimento di Diagnostica per Immagini, AOU Federico II, 80131 Napoli, Italy

Received 31 January 2010; Accepted 23 February 2010

Academic Editor: Tomas A. Salerno

Copyright © 2010 Lidia Santarpia et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ureteral-iliac artery fistula is a rare and potentially life-threatening complication, typically occurring after radiation therapy in already surgically treated cancer patients. This case report describes the diagnostic challenges and the successful management, with the positioning of an intra-arterial prosthesis, of a fistula between the internal iliac artery and the left ureter presenting as massive hematuria in a young woman with history of total colectomy and pelvic radiotherapy for rectal cancer and subsequent wide ileal resections and bilateral ureteral stent positioning for radiation enteritis. Ureteroiliac artery fistulas require a prompt diagnosis and intervention, to avoid life threatening clinical events.