介入治疗左输尿管髂总动脉瘘大出血1例报告
A case report of interventional treatment of massive hemorrhage from left ureteral iliac artery fistula
张镐哲 1刘娟芳 1李超迪 1闫肃 1常琼方 1韩新巍 1张建好1
作者信息
- 1. 郑州大学第一附属医院介入科,郑州 450052
- 折叠
摘要
本文报道1例膀胱癌根治手术后双侧输尿管皮肤造口患者,术后2年出现间断血尿,双侧肾动脉、腹主动脉造影未见异常.拔除双J管后,腹主动脉造影可见左侧髂总动脉输尿管瘘,患者即刻出现失血性休克.急诊行腹主动脉球囊阻断并左侧髂总动脉覆膜支架置入术,支架置入后回收球囊扩张导管,未见出血,心率血压恢复稳定,复查造影示瘘完全不显影.本病罕见且凶险,介入治疗可迅速止血,手术创伤小、术后恢复快.
Abstract
This article reports that a patient with bilateral ureterocutaneous stoma after radical cystectomy developed intermittent hematuria 2 years after surgery,and there were no abnormalities on bilateral renal artery and abdominal aortic angiography.After removal of the double J stent,a left common iliac artery ureteral fistula was seen on abdominal aortic angiography,and the patient immediately developed hemorrhagic shock.Abdominal aortic balloon occlusion and left common iliac artery stent grafting were performed in the emergency department.After the stent was deployed and the balloon deflated,no bleeding was observed,and the patient's heart rate and blood pressure stabilized.Follow-up angiography showed complete resolution of the fistula.This condition is rare and dangerous,but interventional treatment can quickly control bleeding,offering minimal surgical trauma and fast recovery.
关键词
输尿管髂总动脉瘘/腹主动脉球囊阻断术/覆膜支架Key words
Ureteroiliac artery fistula/Abdominal aortic balloon occlusion/Film covered bracket引用本文复制引用
出版年
2024
NETL
NSTL
万方数据