Case report. Forse macrohematurie uit urostoma: een potentieel levensbedreigende situatie!

Sander F. Tilli; Tycho M.T.W. Lock; Pieter Dik; Rik de Jongh

doi:10.1007/s13629-022-00369-8

Case report. Forse macrohematurie uit urostoma: een potentieel levensbedreigende situatie!

Translated title of the contribution: Case report. Significant gross hematuria from urinary diversion: a potentially life-threatening condition!

Sander F. Tilli^*, Tycho M.T.W. Lock, Pieter Dik, Rik de Jongh

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

Arterio-ureteral fistula (AUF) is a rare disease with a relatively high mortality rate that usually occurs after extensive pelvic oncological surgery in combination with radiation and chronic indwelling ureteral stents. In the Netherlands, approximately four AUF’s are diagnosed yearly, the real frequency is probably higher. The pathophysiology of the development of an AUF will mainly be based on chronic inflammation, fibrosis, poor vascularization and finally pressure necrosis. Localization of an AUF is mainly at the crossing of the ureter with the common iliac artery. AUF presents frequently in an acute setting with massive hematuria. The most sensitive diagnostic test is an angiography and the preferred initial treatment is endovascular.

Translated title of the contribution	Case report. Significant gross hematuria from urinary diversion: a potentially life-threatening condition!
Original language	Dutch
Pages (from-to)	161-165
Number of pages	5
Journal	Tijdschrift voor Urologie
Volume	12
Issue number	8
DOIs	https://doi.org/10.1007/s13629-022-00369-8
Publication status	Published - Nov 2022

Keywords

arterio-ureteral fistula (AUF)
hematuria
pelvic surgery
radiation
ureteral stenting
vascular endoprosthesis

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title = "Case report. Forse macrohematurie uit urostoma: een potentieel levensbedreigende situatie!",

abstract = "Arterio-ureteral fistula (AUF) is a rare disease with a relatively high mortality rate that usually occurs after extensive pelvic oncological surgery in combination with radiation and chronic indwelling ureteral stents. In the Netherlands, approximately four AUF{\textquoteright}s are diagnosed yearly, the real frequency is probably higher. The pathophysiology of the development of an AUF will mainly be based on chronic inflammation, fibrosis, poor vascularization and finally pressure necrosis. Localization of an AUF is mainly at the crossing of the ureter with the common iliac artery. AUF presents frequently in an acute setting with massive hematuria. The most sensitive diagnostic test is an angiography and the preferred initial treatment is endovascular.",

keywords = "arterio-ureteral fistula (AUF), hematuria, pelvic surgery, radiation, ureteral stenting, vascular endoprosthesis",

author = "Tilli, {Sander F.} and Lock, {Tycho M.T.W.} and Pieter Dik and {de Jongh}, Rik",

note = "Publisher Copyright: {\textcopyright} 2022, The Author(s).",

year = "2022",

month = nov,

doi = "10.1007/s13629-022-00369-8",

language = "Dutch",

volume = "12",

pages = "161--165",

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T1 - Case report. Forse macrohematurie uit urostoma

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AU - Lock, Tycho M.T.W.

AU - Dik, Pieter

AU - de Jongh, Rik

PY - 2022/11

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AB - Arterio-ureteral fistula (AUF) is a rare disease with a relatively high mortality rate that usually occurs after extensive pelvic oncological surgery in combination with radiation and chronic indwelling ureteral stents. In the Netherlands, approximately four AUF’s are diagnosed yearly, the real frequency is probably higher. The pathophysiology of the development of an AUF will mainly be based on chronic inflammation, fibrosis, poor vascularization and finally pressure necrosis. Localization of an AUF is mainly at the crossing of the ureter with the common iliac artery. AUF presents frequently in an acute setting with massive hematuria. The most sensitive diagnostic test is an angiography and the preferred initial treatment is endovascular.

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KW - hematuria

KW - pelvic surgery

KW - radiation

KW - ureteral stenting

KW - vascular endoprosthesis

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Case report. Forse macrohematurie uit urostoma: een potentieel levensbedreigende situatie!

Abstract

Keywords

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