Catastrophic gross hematuria two decades after spinal surgery: A case report of an Arterioureteral fistula

Preet Kumar; Edwin Mouhawasse; Hasan F Jhaveri; Tara Morgan; Jordan Foreman

doi:10.1016/j.eucr.2025.103094

Catastrophic gross hematuria two decades after spinal surgery: A case report of an Arterioureteral fistula

Urol Case Rep. 2025 Jun 14:61:103094. doi: 10.1016/j.eucr.2025.103094. eCollection 2025 Jul.

Authors

Preet Kumar¹, Edwin Mouhawasse¹, Hasan F Jhaveri², Tara Morgan², Jordan Foreman²

Affiliations

¹ Charles E. Schmidt Florida Atlantic University College of Medicine, Boca Raton, FL, USA.
² Duke University, Department of Urology, USA.

Abstract

Arterioureteral fistula (AUF) is a rare and life-threatening pathologic condition. Risk factors most commonly include chronic indwelling ureteral stents or a history of pelvic radiation. We present a case of a 58-year-old female who presented with catastrophic gross hematuria who was ultimately diagnosed with an (AUF) secondary to infected, eroded spinal hardware in her left mid ureter. This case highlights the importance of considering AUF in patients without traditional risk factors and underscores the diagnostic challenges posed by this rare but critical entity.

Keywords: (AUF); (CTA); Arterioureteral fistula; Computed tomography angiography; Endovascular repair; Gross hematuria; Pseudoaneurysm.

Publication types

Case Reports