Ureteroarterial fistula is rare, potentially life-threatening condition and should be considered in the differential diagnosis in patients presenting with intermittent gross hematuria with a prior history of pelvic surgery/radiation, ureteral manipulation and chronic cannulation. Although currently no standard of care exists, endovascular fistula exclusion utilizing stent graft offers a reasonable treatment option.

From the manuscript

Endovascular Management of Ureteroarterial Fistula: A Rare Potentially Life Threatening Cause of Hematuria

Abstract
Ureteroarterial fistula is a rare, potentially life-threatening cause of hematuria characterized by an abnormal channel between a ureter and artery. The rarity of this condition, complexity of predisposing risk factors and intermittence of symptoms may delay or obscure its diagnosis. With a high index of suspicion and careful angiographic evaluation, embarking on this condition is not only possible but sets the stage for curative intervention. We report a case of a ureteroarterial fistula presenting with intermittent hematuria, successfully diagnosed at angiography and managed with endovascular stent graft placement.