Ureter-iliac artery graft-cutaneous fistula: A rare presentation

A 55-year-old male with a history of iliac artery – popliteal artery polytetrafluoroethylene graft bypass presented 2 years later with sudden onset gross hematuria with sepsis. Computed tomography (CT) angiography was suggestive of fistula between ureter and iliac artery which was treated with arterial covered stent graft. The patient presented 2 weeks later with watery discharge from the previous scar. CT suggested ureter-cutaneous fistula. JJ stenting of ureter was done. The patient was discharged and on follow-up CT scan, there was no evidence of fistula and patient was completely asymptomatic. Ureter-iliac artery graft fistula with cutaneous involvement has not been reported in literature before.