Open AccessSuccessful management of a fistula between an external iliac artery and an ileal conduit with endovascular embolization and vascular bypass
Author(s) -
Sekito Sho,
Onishi Takehisa,
Terabe Takashi,
Shibahara Takuji
Publication year - 2020
Publication title -
iju case reports
Language(s) - English
Resource type - Journals
ISSN - 2577-171X
DOI - 10.1002/iju5.12123
Subject(s) - medicine , surgery , fistula , cystectomy , electrical conduit , external iliac artery , anastomosis , embolization , arteriovenous fistula , radiology , artery , bladder cancer , mechanical engineering , cancer , engineering
Fistula formation between an ileac artery and an ileal conduit after radical cystectomy is a rare complication. Case presentation A 72‐year‐old woman underwent laparoscopic radical cystectomy with ileal conduit. After surgery, leakage of ileal‐ureteral anastomosis with infection was observed. Five months after surgery, sudden bleeding from the ileal conduit occurred that stopped spontaneously. Contrast‐enhanced computed tomography suggested a pseudo aneurysm of the right external iliac artery in contact with the ileal conduit. A fistula between the artery and ileal conduit was suspected. She underwent embolization of the common iliac artery and femorofemoral bypass. She had a good clinical course and no sign of hematuria over 6 months of follow‐up. Conclusion An episode of warning hemorrhage from the urostomy is an important sign of fistula, and endovascular treatment is a feasible approach to treat this condition.