case_images: PMC8371582_01
case_images: Left nephrostogram with contrast noted extravasating through the fistula tract from the left ureter into the left iliac artery.
case_images: CRIU2021-8165991.001.jpg
case_images: PMC8371582_01_CRIU2021-8165991.001.jpg
case_images: fig1
case_images: Antegrade nephrostogram was performed, and a large fistula between the left ureter and the left common iliac artery was noted (Figure 1).
case_images: Arteriogram following endograft placement with no contrast exiting the arterial system. Left nephroureteral stent is noted traversing the location of graft placement highlighting the region of fistula formation.
case_images: CRIU2021-8165991.002.jpg
case_images: PMC8371582_01_CRIU2021-8165991.002.jpg
case_images: fig2
case_images: An 8 mm x 39 mm VBX covered stent was advanced and deployed in the midcommon iliac artery, with a follow-up angiogram showing no evidence of pseudoaneurysm, active bleeding, or fistula (Figure 2).
case_images: PMC8371582_02
case_images: Left ureter raised with left bipolar forceps and small Hem-o-lok clip controlling the divided smaller vascular connection with a laparoscopic Satinsky clamp placed on the left external iliac artery proximal to the ureteroiliac fistula.
case_images: CRIU2021-8165991.003.jpg
case_images: PMC8371582_02_CRIU2021-8165991.003.jpg
case_images: fig3
case_images: A small vessel directly communicating with the ureter and the left external iliac artery was identified and clipped with a Hem-o-lok and divided with good hemostasis (Figure 3).