动脉输尿管瘘3例

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姜瑞, 兰孝达, 张喆楠, 肖云翔, 吴士良, 何志嵩, 李学松, 韩文科, 张骞, 孟一森△()

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姜瑞, 兰孝达, 张喆楠, 肖云翔, 吴士良, 何志嵩, 李学松, 韩文科, 张骞, 孟一森. 动脉输尿管瘘3例[J]. 北京大学学报（医学版）, 2025, 57(2): 408-410.

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2	Pillai AK , Anderson ME , Reddick MA , et al. Ureteroarterial fistula: Diagnosis and management[J]. AJR Am J Roentgenol, 2015, 204 (5): 592- 598. doi: 10.2214/AJR.14.13405
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7	Augustin AM , Torre GD , Kocot A , et al. Endovascular therapy of arterioureteral fistulas[J]. Vasa, 2021, 50 (3): 193- 201. doi: 10.1024/0301-1526/a000922
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Parameters	Case 1	Case 2	Case 3
Gender	Male	Female	Female
Age/years	86	57	74
Previous surgical history	Radical cystectomy + cutaneous terminal ureterostomy	Radical hysterectomy for cervical cancer + cutaneous terminal ureterostomy	Radical cystectomy + cutaneous terminal ureterostomy
Interval between surgery and arterio-ureteral fistula/years	2	5	4
Computerized tomography	None	High density of renal pelvis and calyces, the right external iliac artery is not clearly demarcated from the right ureter	No obvious abnormality
Arteriography	None	No visible hemorrhagic spot	Visible hemorrhagic spot
Treatment	Conservative treatment	An exploratory laparotomy was performed, and no obvious bleeding source was identified +iliac artery stent implantation	Ureteral embolism + iliac artery stent implantation
Follow-up	Fatal outcome	No recurrence of bleeding	No recurrence of bleeding

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