Abdominal CT of a 75-year-old patient who underwent endovascular abdominal aortic aneurysm repair with a covered aortic stent-graft. The patient had a type II endoleak via inferior mesenteric artery, and was treated with direct puncture and embolization with glue. Later, the patient presented severe colonic ischemia with sepsis. Embolic material is evident in the inferior mesenteric artery, whereas the sigmoid colon appears with thickened necrotic wall.