case_images: PMC10902871_01
case_images: Whole body CTA on admission showing endoleak formation (green arrow).. CTA: computed tomography angiography
case_images: cureus-0016-00000053215-i01.jpg
case_images: PMC10902871_01_cureus-0016-00000053215-i01.jpg
case_images: FIG1
case_images: The diagnosis, in a lack of information on his medical records, was set after diagnostic imaging with a whole-body computed tomography angiography (CTA) scan (Figures 1-4).
case_images: CTA on admission, 3D volume rendering, showing diversion of both ureters to a single site (green arrow).. CTA: computed tomography angiography
case_images: cureus-0016-00000053215-i02.jpg
case_images: PMC10902871_01_cureus-0016-00000053215-i02.jpg
case_images: FIG2
case_images: The diagnosis, in a lack of information on his medical records, was set after diagnostic imaging with a whole-body computed tomography angiography (CTA) scan (Figures 1-4).
case_images: CTA on admission, 3D volume rendering, showing L ureter J stent crossing over the aortic bifurcation.. CTA: computed tomography angiography
case_images: cureus-0016-00000053215-i03.jpg
case_images: PMC10902871_01_cureus-0016-00000053215-i03.jpg
case_images: FIG3
case_images: The diagnosis, in a lack of information on his medical records, was set after diagnostic imaging with a whole-body computed tomography angiography (CTA) scan (Figures 1-4).
case_images: CTA on admission, 3D volume rendering, showing the site of AUF formation.. CTA: computed tomography angiography, AUF: aorto-ureteric fistula
case_images: cureus-0016-00000053215-i04.jpg
case_images: PMC10902871_01_cureus-0016-00000053215-i04.jpg
case_images: FIG4
case_images: The diagnosis, in a lack of information on his medical records, was set after diagnostic imaging with a whole-body computed tomography angiography (CTA) scan (Figures 1-4).
case_images: Post-procedural CTA showing control of the endoleak and no signs of extravasation in the area of AUF (green arrow).. CTA: computed tomography angiography, AUF: aorto-ureteric fistula
case_images: cureus-0016-00000053215-i05.jpg
case_images: PMC10902871_01_cureus-0016-00000053215-i05.jpg
case_images: FIG5
case_images: We first attempted to treat him as a type I endoleak with a proximal extension, and upon failure, with distal extensions, but finally we had to 'build' the entire previous operation from the inside to achieve control of the endoleak (Figure 5).
case_images: Post-procedural CTA showing the final result.. CTA: computed tomography angiography
case_images: cureus-0016-00000053215-i06.jpg
case_images: PMC10902871_01_cureus-0016-00000053215-i06.jpg
case_images: FIG6
case_images: Finally, a vascular plug was placed on the left common iliac artery (LCIA) limb in an aorto-unilateral fashion, and a femoral-femoral bypass was conducted (Figure 6).