Arterioureteral Fistula. An Unusual Cause of Aortofemoral Bypass Infection. A Case Report

Abstract

We report a case of arterioureteral fistula after aortobifemoral bypass surgery and prolonged bilateral double J stents due to ureteral stenosis.

A 70-year-old woman presented with a non-tender mass in the left groin and a single episode of haematuria 2 months earlier. A Computed Tomography (CT) revealed a pseudoaneurysm of the left distal suture of the graft. Surgical repair was performed. Because of suspicion of infection the entire aortobifemoral graft was removed and replaced by an autologous venous aortofemoral bypass to the right groin and femorofemoral crossover bypass from the right to the left. During surgery an arterioureteral fistula could be visualized. The urologists performed a left nephroureterectomy of the afunctional left kidney. The further postoperative course was uneventful during the 10 months of follow up.

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I. Fourneau

I. Fourneau UZ Leuven Dept. Vascular Surgery Herestraat 49 3000 Leuven, Belgium Tel: [phone] Fax: [phone] E-mail: [email protected]