Korean J Urol.
2003 Jun;44(6):611-613.
A Fistula between Ileal Conduit and Iliac Artery after Radical Cystectomy with Ileal Conduit Urinary Diversion
- Affiliations
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- 1Department of Urology, College of Medicine, Hanyang University, Seoul, Korea. harabugi@hanyang.ac.kr
Abstract
- A radical cystectomy, including a pelvic lymphadenectomy, is a standard treatment for a muscle invasive bladder tumor, but it is considered a major operation, with serious complications, and most complications develop in the early postoperative period. After a radical cystectomy, with ileal conduit urinary diversion (ICUD), bleeding is a common and well known complication in the early postoperative period, but rare in the later period. Here we report a case of massive bleeding from an ileal conduit 3 months after a radical cystectomy, with ICUD, due to a rupture of the iliac artery pseudoaneurysm, which was treated by vascular suture of the right iliac artery.