PMC2777240_01
CT scan of pelvis showing rectal mass and double J stent.
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fig1
A CT scan showed an enhancing 7 cm solid pelvic mass displacing the bladder and rectum (Figure 1).
Retrograde pyelogram showing fistula between right iliac artery and right ureter. Note the cystoscope tip and ureteral catheter extending up the distal ureter.
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fig2
As the catheter was withdrawn and contrast was instilled an ureteroiliac fistula was demonstrated (Figure 2).
Vascular stent spanning the intersection of right iliac artery and ureter.
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fig3
Using the ureteral catheter as a guide to localize the ureter, an 8 mm x 40 mm covered vascular stent was deployed spanning the intersection of the artery and ureter (Figure 3).