ANGIOGRAPHIC ARTERIAL-OCCLUSION AND EXTRA-ANATOMICAL VASCULAR BYPASS FOR THE MANAGEMENT OF A URETERAL-LLIAC FISTULA - CASE-REPORT AND REVIEW OF THE LITERATURE

Ureteroarterial fistulas related to nonvascular etiology are rare clin ical entities that are difficult to diagnose and manage. Diagnosis is best made by a combination of studies, including digital subtraction a ngiography. Low morbidity and mortality rates have been described with either percutancous thrombosis of the iliac artery and extra-anatomic bypass, or by placement of a stented graft in the involved artery. We report on a well-documented case of a ureteroarterial fistula managed successfully with interventional radiologic embolization of the commo n iliac artery and immediate femoral-femoral arterial bypass. A review of the literature supports this approach.