输尿管动脉瘘(AUFs),相对罕见,但可能危及生命,需要及时诊断和治疗。我们报告了1例AUFs在机器人辅助腹腔镜根治性膀胱切除术(RARC)并进行盆腔淋巴结清扫术和回肠导管尿流改道治疗肌层浸润性膀胱癌后,导致大出血.尿液从输尿管之间的吻合口漏出,回肠导管的末端被感染了,这导致右髂总动脉假性动脉瘤和输尿管之间的AUF。通过动脉支架移植物的血管介入成功地管理了AUF。
Arterio-ureteral fistulas (AUFs), which are relatively rare but potentially life-threatening, require prompt diagnosis and treatment. We reported a case of AUFs following robot-assisted laparoscopic radical cystectomy (RARC) with extended pelvic lymph node dissection and ileal conduit urinary diversion for muscle-invasive bladder cancer, which resulted in massive hemorrhage. Urine leaked from the anastomosis between the ureter, and the end of the ileal conduit was infected, which resulted in an AUF between the pseudoaneurysm of the right common iliac artery and the ureter. The AUF was managed successfully by vascular intervention with an arterial stent graft.