EURORAD ESR

Case 15453

Severe haematuria due to a ureteroarterial fistula and complicating pseudoaneurysm caused by a metallic ureteric stent.

Author(s)
Udawattage Sirisena1, Katherine Hillyard2

Whips Cross University Hospital; Whipps Cross Road E11 1NR London; Email:n.sirisena@gmail.com
 
Patient
female, 66 year(s)
 
 
  • Figure 1
    Unenhanced axial CT of the urinary tract

    Non-contrast axial CT image of the urinary tract revealing a possible right psoas haematoma associated with ureteric memokath

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Complications; Special Focus: Fistula;
     
     
  • Figure 2
    Ultrasound (US) image of the right lower limb

    US image of a large occlusive thrombus in the right common femoral vein

     
    Area of Interest: Veins / Vena cava; Imaging Technique: Ultrasound; Procedure: Complications; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 3
    Contrast enhanced axial CT slice and coronal MIP image
     

    Contrast enhanced arterial phase axial CT slice of the abdomen showing a large radiopaque mass adjacent to the right common iliac artery, in close apposition to the metallic memokath stent.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Complications; Special Focus: Fistula;

    Coronal MIP image showing a large pseudoaneurysm adjacent to the right common iliac artery

     
    Area of Interest: Arteries / Aorta; Imaging Technique: CT; Procedure: Complications; Special Focus: Fistula;
     
     
  • Figure 4
    Angiogram

    Angiogram demonstrating filling of the right common iliac artery pseudoaneurysm

     
    Area of Interest: Arteries / Aorta; Imaging Technique: Catheter arteriography; Procedure: Complications; Special Focus: Fistula;
     
     
  • Figure 5
    Angiogram post stent graft insertion

    Arteriography following stent insertion showing successful exclusion of the pseudoaneurysm of the right common iliac artery, with minimal filling of the right internal iliac artery following coil embolisation

     
    Area of Interest: Arteries / Aorta; Imaging Technique: Percutaneous; Procedure: Angioplasty; Embolisation; Special Focus: Fistula;
     
     
Non-contrast axial CT image of the urinary tract revealing a possible right psoas haematoma associated with ureteric memokath
 
US image of a large occlusive thrombus in the right common femoral vein
 
Contrast enhanced arterial phase axial CT slice of the abdomen showing a large radiopaque mass adjacent to the right common iliac artery, in close apposition to the metallic memokath stent.
 
Coronal MIP image showing a large pseudoaneurysm adjacent to the right common iliac artery
 
Angiogram demonstrating filling of the right common iliac artery pseudoaneurysm
 
Arteriography following stent insertion showing successful exclusion of the pseudoaneurysm of the right common iliac artery, with minimal filling of the right internal iliac artery following coil embolisation
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version