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•Ureteroarterial fistula (UAF) is a rare cause of massive hematuria.•Percutaneous retrograde ureteral stents via DBWC can be done safely in the compliant patient for improved comfort.•Understanding the anatomy, risks, and minimally invasive treatment options for UAF is important for prompt patient care.

Ureteroarterial fistula following retrograde ureteral stenting in a patient with a double-barreled wet colostomy for cervical cancer