Arterioureteral Fistula in the Setting of Radical Cystoprostatectomy and Ileal Conduit Creation

Sahil Zaveri; Bhavin Shah; Mazhar Soufi; Zbigniew Moszczynski; Jamshed Zuberi

doi:10.7759/cureus.24533

Arterioureteral Fistula in the Setting of Radical Cystoprostatectomy and Ileal Conduit Creation

Cureus. 2022 Apr 27;14(4):e24533. doi: 10.7759/cureus.24533. eCollection 2022 Apr.

Authors

Sahil Zaveri¹, Bhavin Shah¹, Mazhar Soufi², Zbigniew Moszczynski², Jamshed Zuberi¹

Affiliations

¹ Surgery, St. Joseph's University Medical Center, Paterson, USA.
² Surgery, CarePoint Health Bayonne Medical Center, Bayonne, USA.

Abstract

Arterioureteral fistulas (AUF) following ileal conduit reconstruction are rare and not well-studied. We present a life-threatening bleed from an AUF due to an ileal conduit urinary diversion. In addition, we identify the challenges in the diagnostic process as well as management strategies. We present a 63-year-old male with ileal conduit reconstruction for bladder cancer with an AUF developing years after the reconstruction, which was ultimately managed with angioplasty.

Keywords: arterioureteral fistula; bladder cancer; cystectomy; hematuria; ileal conduit creation; prostatectomy.

Publication types

Case Reports