Closure of a ureterocutaneous fistula with a covered stent-graft |
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Authors: | Reddy Dindi D Salem Riad Gonzalez Jose A Konstandt David Sergie Ziad Lewandowski Robert |
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Institution: | Department of Interventional Radiology, Beaumont Hospital, 3601 West 13 Mile Road, Royal Oak, Michigan 48073, USA. |
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Abstract: | A 74-year-old woman developed retroperitoneal fibrosis after aortic surgery for a left common iliac artery aneurysm. On the 5th day after repair, a left groin ureterocutaneous fistula developed. Because of the presence of a hostile surgical bed, the fistula was treated with percutaneous nephrotomy and double J stent insertion. Despite proximal control for more than 1 year, the fistula persisted. She was referred to the interventional radiology department for exchange to a nephrostomy with ureteral embolization. Rather than perform embolization of the ureter, we successfully repaired the fistula with a covered stent-graft. The patient was seen again 1 year after stent-graft placement. Output continues to fluctuate but never exceeds 5 mL per day. |
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