Abstract

Grosshematuria is a manifestation of various urological condition such as Nephrolithiasis, urological malignancy, urinary tract infection and trauma. Most cases ofgross hematuria are manageable and are seldom life-threatening, however, rarer diagnoses can be potentially lethal. Pseudo Uretero-iliac aneurysm fistula (UIAF) are rare and one of such lethal emergency which require a multidisciplinary approach for urgent diagnosis and management. Clinical picture varied from asymptomatic to flank pain, hematuria and shock and condition need urgent diagnosis by angiography, cystoscopy, Computed Tomography of abdomen and sometimes surgical exploration. We have come through an interesting case of ruptured case of pseudo iliac aneurysmal into ureter. HenceWe will review the causes, risk factors, pathophysiology, clinical presentation, and various approach for diagnosis and treatment and our experience of approach of one such cases of pseudo Uretero-iliac aneurysmal fistula.

Description