Post-traumatic arteriovenous fistula reporting with haematuria after 25 years

A case of post-traumatic arteriovenous fistula in the left thigh is reported 25 years after injury with haematuria. The patient had sustained bullet injury in his left thigh in 1986. Clinically, he had thrill and bruit in his left thigh and groin. Ultrasound abdomen and pelvis revealed a vascular mass in the left side of urinary bladder. CT angiography showed communication between left superficial femoral artery and vein and gross dilatation of thigh and pelvic veins with mass effect on the urinary bladder. He was managed by excision of fistula and repair of both artery and vein with interposition of a prosthetic graft.