A Case of Uretero-arterial Fistula after Total Cystourethrectomy Treated with Covered Stent Graft

Abstract

Uretero-arterial fistula is a rare but highly lethal disease depending on the degree of hematuria and infection. In this study, we report a case of ureter-common iliac artery fistula with urinary tract infection after total bladder resection with ureterocutaneous fistula. We treated ureter-common iliac artery fistula with the covered stent graft. The patient had a urinary tract infection at the time of the initial visit to our department, and the covered stent was placed in the left common iliac artery when the signs of infection had resolved after about two weeks of antibiotic treatment. The patient’s postoperative course was good, and his hematuria improved immediately after the procedure. Twelve months after surgery, the patient has no signs of hematuria recurrence or stent infection. The patient should be closely monitored for hematuria recurrence, device infection, and graft occlusion.