Work

Ureteral tamponade to prevent catastrophic bleeding from uretero-vascular fistula in a patient with long-term indwelling ureteral stent

Year: 2025

Type: article

Abstract: A 56-year-old female experienced massive pulsatile bleeding from the left ureter during routine ureteral stent exchange. She had a history of radical cystectomy and bilateral stent insertion due to uretero-intestinal strictures. Upon stent removal, sudden bleeding through the urostomy led to hypovolemic shock. Urostomy site compression stabilized the patient, and CT revealed suspected ureteroarterial fistula. Angiography confirmed the diagnosis. Covered stent placement in the external iliac artery resolved the condition. No recurrence was observed during a three-year follow-up. Prompt tamponade followed by endovascular intervention can be life-saving in such cases. • Catastrophic hematuria occurred during stent exchange in a patient with a long-term ureteral stent. • Temporary ureteral tamponade using urostomy compression stabilized the patient. • CT and angiography identified a ureteroarterial fistula. • Endovascular treatment with coil embolization and stenting was effective. • No hematuria recurrence during one-year follow-up.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2025.103162

Authors: Jung Sik Huh, Kyung Kgi Park

Institution: Jeju National University

Language: English

Topic: Ureteral procedures and complications

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160