Unique Presentation of Hematuria in a Patient with Arterioureteral Fistula

Figure 2

Attempted left internal iliac artery selective arteriogram with a 5 F SOS catheter shows the catheter tip in the left ureter and brisk flow of contrast into the left ureter (solid blue arrow) flowing caudad into the urinary bladder (solid red arrow). This confirms the presence of an internal iliac arterioureteral fistula.