Introduction:

the placement of a JJ catheter is a common urological maneuver. Despite its relative simplicity, this technique can have complications associated.

Case report:

we present a case of a 69-year-old woman who developed a ureteroiliac fistula, one of the rarest complications after the placement of a JJ catheter. She had a history of cervix carcinoma treated with surgery and pelvic radiotherapy, with only one functional kidney due to obstructive atrophy of the left kidney, and right ureteral obstruction, and she required periodic replacement of her right ureteral catheter. During the last replacement, active bleeding and hematuria coming from the right ureter was observed; the study was completed with CT, ureterorenoscopy and arteriography, diagnosing a right ureteroiliac fistula. Using ultrasound-guided right femoral percutaneous puncture, an 8 x 57 mm coated stent (Begraft®) was implanted in the right proximal external iliac artery, with instant correction of the bleeding.

Discussion:

ureteroiliac fistula is an unusual complication after the placement of a JJ catheter. We performed a review of published cases and history of pelvic surgery and/or radiotherapy was described in all of them. We can conclude that endovascular treatment is currently the first-line management of ureteroiliac fistula. It is a minimally invasive approach that offers fast and effective diagnostic and treatment options.

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