Ureteral cancer successfully treated with laparoscopic nephroureterectomy with temporary intraoperative occlusion of the internal iliac artery for pelvic arteriovenous malformation

Introduction Pelvic arteriovenous malformation is often a source of intraoperative bleeding. Here, we report our experience with a case of ureteral cancer with pelvic arteriovenous malformation treated using laparoscopic nephroureterectomy with temporary intraoperative occlusion of the internal ilia...

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Main Authors: Juntaro Koyama, Tomonori Sato, Yasufumi Sato, Shin Sato, Shuichi Shimada, Shinji Taniuchi, Ken Tsuchida, Masahiro Tsuboi, Kazuhiro Sakamoto, Yoshihiro Ikeda
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:IJU Case Reports
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Online Access:https://doi.org/10.1002/iju5.12780
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author Juntaro Koyama
Tomonori Sato
Yasufumi Sato
Shin Sato
Shuichi Shimada
Shinji Taniuchi
Ken Tsuchida
Masahiro Tsuboi
Kazuhiro Sakamoto
Yoshihiro Ikeda
author_facet Juntaro Koyama
Tomonori Sato
Yasufumi Sato
Shin Sato
Shuichi Shimada
Shinji Taniuchi
Ken Tsuchida
Masahiro Tsuboi
Kazuhiro Sakamoto
Yoshihiro Ikeda
author_sort Juntaro Koyama
collection DOAJ
description Introduction Pelvic arteriovenous malformation is often a source of intraoperative bleeding. Here, we report our experience with a case of ureteral cancer with pelvic arteriovenous malformation treated using laparoscopic nephroureterectomy with temporary intraoperative occlusion of the internal iliac artery. Case presentation A 75‐year‐old man presented to our hospital with asymptomatic macro‐hematuria. Contrast‐enhanced computed tomography revealed right ureteral tumor with no apparent metastases, and right pelvic arteriovenous malformation. Three months later, multiple bladder cancers were identified and the patient underwent trans‐urethral resection of bladder tumor. The pathological diagnosis was urothelial carcinoma, pTa. We performed right laparoscopic nephroureterectomy with temporary intraoperative occlusion of the internal iliac artery. There was little intraoperative bleeding, and the surgery was safely completed. The pathological diagnosis was urothelial carcinoma, pT2 + Tis. Conclusion A patient showing ureteral cancer with pelvic arteriovenous malformation was safely treated using laparoscopic nephroureterectomy with temporary occlusion of the internal iliac artery.
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spelling doaj-art-60291fd95bce44a5a82f3ea40456f6892025-08-20T02:18:27ZengWileyIJU Case Reports2577-171X2024-11-017646747010.1002/iju5.12780Ureteral cancer successfully treated with laparoscopic nephroureterectomy with temporary intraoperative occlusion of the internal iliac artery for pelvic arteriovenous malformationJuntaro Koyama0Tomonori Sato1Yasufumi Sato2Shin Sato3Shuichi Shimada4Shinji Taniuchi5Ken Tsuchida6Masahiro Tsuboi7Kazuhiro Sakamoto8Yoshihiro Ikeda9Department of Urology Osaki Citizen Hospital Osaki JapanDepartment of Urology Osaki Citizen Hospital Osaki JapanDepartment of Urology Osaki Citizen Hospital Osaki JapanDepartment of Urology Osaki Citizen Hospital Osaki JapanDepartment of Urology Osaki Citizen Hospital Osaki JapanDepartment of Pathology Osaki Citizen Hospital Osaki JapanDepartment of Vascular Surgery Osaki Citizen Hospital Osaki JapanDepartment of Diagnostic Radiology Osaki Citizen Hospital Osaki JapanDepartment of Pathology Osaki Citizen Hospital Osaki JapanDepartment of Urology Osaki Citizen Hospital Osaki JapanIntroduction Pelvic arteriovenous malformation is often a source of intraoperative bleeding. Here, we report our experience with a case of ureteral cancer with pelvic arteriovenous malformation treated using laparoscopic nephroureterectomy with temporary intraoperative occlusion of the internal iliac artery. Case presentation A 75‐year‐old man presented to our hospital with asymptomatic macro‐hematuria. Contrast‐enhanced computed tomography revealed right ureteral tumor with no apparent metastases, and right pelvic arteriovenous malformation. Three months later, multiple bladder cancers were identified and the patient underwent trans‐urethral resection of bladder tumor. The pathological diagnosis was urothelial carcinoma, pTa. We performed right laparoscopic nephroureterectomy with temporary intraoperative occlusion of the internal iliac artery. There was little intraoperative bleeding, and the surgery was safely completed. The pathological diagnosis was urothelial carcinoma, pT2 + Tis. Conclusion A patient showing ureteral cancer with pelvic arteriovenous malformation was safely treated using laparoscopic nephroureterectomy with temporary occlusion of the internal iliac artery.https://doi.org/10.1002/iju5.12780arteriovenous malformationintraoperative internal iliac artery temporary occlusionlaparoscopic nephroureterectomyureteral cancer
spellingShingle Juntaro Koyama
Tomonori Sato
Yasufumi Sato
Shin Sato
Shuichi Shimada
Shinji Taniuchi
Ken Tsuchida
Masahiro Tsuboi
Kazuhiro Sakamoto
Yoshihiro Ikeda
Ureteral cancer successfully treated with laparoscopic nephroureterectomy with temporary intraoperative occlusion of the internal iliac artery for pelvic arteriovenous malformation
IJU Case Reports
arteriovenous malformation
intraoperative internal iliac artery temporary occlusion
laparoscopic nephroureterectomy
ureteral cancer
title Ureteral cancer successfully treated with laparoscopic nephroureterectomy with temporary intraoperative occlusion of the internal iliac artery for pelvic arteriovenous malformation
title_full Ureteral cancer successfully treated with laparoscopic nephroureterectomy with temporary intraoperative occlusion of the internal iliac artery for pelvic arteriovenous malformation
title_fullStr Ureteral cancer successfully treated with laparoscopic nephroureterectomy with temporary intraoperative occlusion of the internal iliac artery for pelvic arteriovenous malformation
title_full_unstemmed Ureteral cancer successfully treated with laparoscopic nephroureterectomy with temporary intraoperative occlusion of the internal iliac artery for pelvic arteriovenous malformation
title_short Ureteral cancer successfully treated with laparoscopic nephroureterectomy with temporary intraoperative occlusion of the internal iliac artery for pelvic arteriovenous malformation
title_sort ureteral cancer successfully treated with laparoscopic nephroureterectomy with temporary intraoperative occlusion of the internal iliac artery for pelvic arteriovenous malformation
topic arteriovenous malformation
intraoperative internal iliac artery temporary occlusion
laparoscopic nephroureterectomy
ureteral cancer
url https://doi.org/10.1002/iju5.12780
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