International journal of urology : official journal of the Japanese Urological Association · 2007
Arteriovesical fistula as a complication of a gunshot wound to the pelvis: treatment dilemma.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Reis Leonardo Oliveira, Barreiro Guilherme Cardinali, D'Ancona Carlos Arturo Levi, Netto Nelson Rodrigues
Аннотация
The case is reported of an arteriovesical fistula after a gunshot wound to the pelvis in a 29-year-old man. It developed 20 days after an exploratory laparotomy with primary suture of the bladder. The patient presented with intermittent gross hematuria and diagnosis was made through cystoscopy and arteriogram. Treatment was initially performed through open embolization. Re-treatment with endovascular procedures was twice necessary. Further evolution led to complete recovery from symptoms after an open procedure. Virtually all forms of treatment were tried and the resolution was finally achieved after more than 7 months.