OBJECTIVE: To present a rare complication of an iliac artery to ileal conduit fistula after radical cystectomy.
METHODS:A 74 year-old man with muscle invasive bladder cancer was submitted for robotic radical cystectomy with intracorporeal ileal conduit. Twenty-four days after surgery he was readmitted due to an active bleeding from the ileal conduit.
RESULTS: CT-Scan showed an arterial fistula between the external iliac artery and the ileal conduit. The emergency procedure done was an artery ligation, bilateral cutaneous ureterostomy and extra-anatomic femoro-femoral bypass.
CONCLUSIONS: A fistula from the external iliac artery to the ileal conduit is a rare and serious complication in the Bricker type urinary diversion, with only 7 cases reported in the international literature.
Written by:
Castillo OA1, Campos Juanatey F, Vives Rivera F, López-Vallejo J. Are you the author?
Urology Department. Clinica Indisa, Chile, Facultad de Medicina, Universidad Andres Bello, Santiago, Chile.
Reference: Arch Esp Urol. 2013 Dec;66(10):967-9.
PubMed Abstract
PMID: 24369191
Article in English, Spanish.
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