Abstract
Both aortic and urinary diseases are common occurrences. When aortic disease becomes symptomatic, both medical therapy and surgical intervention options are available for the patient. When urinary system disease occurs, the usual treatment protocol requires antibiotic therapy combined with appropriate diagnostic evaluation. However, when combined aortourinary (A-U) system disease occurs, the symptom complex requires further evaluation and intervention.
The usual A-U fistula develops between the aorta and the ureter. Less commonly, the fistula develops between the aorta and a renal cyst, the renal pelvis, or the left retroaortic renal vein. These A-U fistulas are very uncommon and difficult to treat. Rapid evaluation, including endoscopy and angiography, may be necessary. Endograft placement, as either a temporizing or permanent therapy, is usually the best acute treatment. Elective major surgery may then follow as the situation directs. Without intervention, the risk of high complication and high mortality situations exist.
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We appreciate the assistance of Diane Paulini, Library Coordinator of Soukup – Herter Library and Resource Center of Elmhurst Hospital, Elmhurst, Illinois and the organization and transcription assistance of Lynn Murawski.
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Dieter, R.A., Kuzycz, G.B., Dieter, R.A., Leehey, D.J., Walter, J.S., Rahman, M.A. (2019). Aortourinary Fistula: Ureter/Renal. In: Dieter, R., Dieter Jr., R., Dieter III, R. (eds) Diseases of the Aorta . Springer, Cham. https://doi.org/10.1007/978-3-030-11322-3_23
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DOI: https://doi.org/10.1007/978-3-030-11322-3_23
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