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Case Reports in Urology
Volume 2015, Article ID 826760, 4 pages
http://dx.doi.org/10.1155/2015/826760
Case Report

Bilateral Ureteral-Iliac Artery Fistula in a Patient with Chronic Indwelling Ureteral Stents: A Case Report and Review

1Tampa General Hospital, Tampa, FL 33606, USA
2University of South Florida Morsani College of Medicine, Tampa, FL 33612, USA

Received 19 February 2015; Accepted 25 April 2015

Academic Editor: Giorgio Carmignani

Copyright © 2015 Arash Rafiei 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-arterial fistula (UAF) is an exceedingly rare but life-threatening condition warranting emergent intervention. Prompt recognition and management of UAF in suspect patients presenting with gross hematuria are required for a successful outcome. We report a rare subset of UAF involving the bilateral common iliac arteries. The patient underwent successful endovascular stent-grafting to correct the arterial defect and delayed open repair of the ureteral strictures. Timely management has benefited from the collaboration of the involved medical teams, which included emergency medicine, urology, and interventional radiology.