Ureteroarterial fistula is rare, but can be life-threatening unless both diagnosis and treatment are timely. Here, we describe a patient presenting with a left ureteral-iliac artery fistula and a pseudoaneurysm. Both occurred after radiotherapy of breast cancer, which had metastasized to left acetabulum, and prolonged ureteral stenting due to ureteral stenosis, which was managed with percutaneous nephrostomy. The patient presented with severely bloody urine from the percutaneous nephrostomy. We used abdominal CT and angiography for diagnosis, and treated the patient successfully by percutaneous transcatheter coil embolization and stenting. (Acta Nephrologica 2011; 25: 86-88)