Delayed massive hemorrhage due to external iliac artery pseudo-aneurysm and uretero-iliac artery fistula following robotic radical cystectomy and intracorporeal Studer pouch reconstruction: endovascular management of an unusual complication

Authors

  • Ali Fuat Atmaca Yildirim Beyazit University, School of Medicine, Department of Urology, Ankara, Turkey
  • Abdullah Erdem Canda Ankara Ataturk Training and Reserach Hospital, Department of Urology, Bilkent, Ankara, Turkey
  • Mehmet Gumus Ankara Ataturk Training and Reserach Hospital, Department of Radiology, Bilkent, Ankara, Turkey
  • Murat Canyigit Ankara Ataturk Training and Reserach Hospital, Department of Radiology, Bilkent, Ankara, Turkey
  • Erem Asil Ankara Ataturk Training and Research Hospital, Department of Urology, Bilkent, Ankara, Turkey
  • Mevlana Derya Balbay Memorial Sisli Hospital, Department of Urology, Istanbul, Turkey

DOI:

https://doi.org/10.5489/cuaj.170

Keywords:

complication, robotic radical cystectomy, intracorporeal, Studer pouch, uretero-iliac artery fistula, pseudo-aneurysm, external iliac artery

Abstract

We report a very unusual complication of uretero-iliac artery fistula that developed following robotic radical cystectomy (RARC), bilateral extended pelvic lymph node dissection and intracorporeal Studer pouch reconstruction. Our patient was a 54-year-old male who was admitted 1 month after undergoing robotic surgery due to intermittently occurring massive transurethral bleeding necessitating blood transfusion that stopped by itself. Angiography showed a right external iliacartery pseudo-aneurysm and a fistula tract between the pseudo-aneurysm and Wallace type ureteral anostomosis that was successfully treated by an angiographic endovascular stent insertion at this level. Uretero-iliac artery fistula might occur following RARC, bilateral extended pelvic lymph node dissection and intracorporeal Studer pouch reconstruction leading to intermittently massive transurethral bleeding. Angiography and stenting are important for diagnosis and successful treatment of this rare entity.

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Published

2013-09-10

How to Cite

Atmaca, A. F., Canda, A. E., Gumus, M., Canyigit, M., Asil, E., & Balbay, M. D. (2013). Delayed massive hemorrhage due to external iliac artery pseudo-aneurysm and uretero-iliac artery fistula following robotic radical cystectomy and intracorporeal Studer pouch reconstruction: endovascular management of an unusual complication. Canadian Urological Association Journal, 7(9-10), e605–8. https://doi.org/10.5489/cuaj.170

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