Endovascular management of a right external iliac artery-ureteral fistula after multimodal therapy for cervical cancer and prolonged metallic ureteral double-J stent.

We present a case of a 52-year-old woman with a ureteroarterial fistula. The patient had a history of radical hysterectomy, lymphadenectomy, chemotherapy, and radiotherapy for cervical cancer at age 44. Bilateral hydronephrosis was observed five years after surgery, and bilateral polyurethane double-J ureteral stents were inserted. In the sixth postoperative year, the stents were exchanged for metallic double-J stents. In the seventh year, the patient presented with gross hematuria. Contrast-enhanced CT suggested a fistulous connection between the right external iliac artery and the ureter. Placement of an endovascular stent graft resulted in resolution of hematuria.