European Journal of Vascular & Endovascular Surgery
Volume 33, Issue 3 , Pages 340-342, March 2007

Abberant Sex Habits Leading to Acute Limb Ischemia and Hematuria

  • R.J. Toorop

      Affiliations

    • Department of Surgery, Máxima Medical Centre, Veldhoven, The Netherlands
    • Corresponding Author InformationCorresponding author. R.J. Toorop, MD, Department of Surgery, Máxima Medical Centre, De Run 4600, PO Box 7777, 5500 MB Veldhoven, The Netherlands.
    • ,
  • M.H.M. Bender

      Affiliations

    • Department of Surgery, Máxima Medical Centre, Veldhoven, The Netherlands
    • ,
  • J.A. Charbon

      Affiliations

    • Department of Surgery, Máxima Medical Centre, Veldhoven, The Netherlands
    • ,
  • H. Pasmans

      Affiliations

    • Department of Radiology, Máxima Medical Centre, Veldhoven, The Netherlands
    • ,
  • M.R.M. Scheltinga

      Affiliations

    • Department of Surgery, Máxima Medical Centre, Veldhoven, The Netherlands

Accepted 31 October 2006. published online 12 December 2006.

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.

Keywords: Limb ischemia, Hematuria, Arteriovesical fistula

 

PII: S1078-5884(06)00616-2

doi:10.1016/j.ejvs.2006.10.026

European Journal of Vascular & Endovascular Surgery
Volume 33, Issue 3 , Pages 340-342, March 2007

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