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Management is conservative in majority of cases with percutaneous drainage and antibiotics, with surgery being reserved for hemodynamically unstable patients.Background Retrograde intrarenal surgery (RIRS) has emerged as a viable and safe option for renal stones less then 2 cm. Because of its high efficiency and relative safety, experienced endourologists have applied it to even larger stones. We present a case of arteriocaliceal fistula, which is a rare postoperative complication of RIRS. Case Presentation A 52-year-old man with a rich