Abberant sex habits leading to acute limb ischemia and hematuria.
case_report · Level V
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Abstract
We report a case of a 42 year-old man suffering from an acute limb ischemia. Upon urokinase treatment he developed gross hematuria. Finally, CT scanning revealed a self-inserted foreign body not only causing thrombosis of the external iliac artery, but also forming an arteriovesical fistula. This case emphasises the importance of detailed history taking and thorough further investigation in recurrent macroscopic hematuria in a patient. Massive bleeding from the bladder should alert the doctor for a rare, but life-threatening arteriovesical fistula.
Medical subject headings
- Foreign Bodies
- Hematuria
- Iliac Artery
- Ischemia
- Leg
- Sexual Behavior
- Urinary Bladder
- Urinary Bladder Fistula
- Vascular Fistula