Key clinical message
This is the first reported pelvic gunshot wounds case with a bladder injury masking a coinciding left external iliac artery injury. A high index of suspicion for an acute and traumatic ilio-vesical fistula should be raised in the presence of the following triad: bright red hematuria, bladder distension from clot retention, hemodynamic instability after bladder decompression “Mukendi’s triad”.
Keywords : arterio-vesical fistula, ilio-vesical fistula, pelvic gunshot wound, bladder injury, external iliac artery injury, bladder clot.