Spontaneous aortocaval fistula--preoperative diagnosis and management.

Spontaneous aortocaval fistula--preoperative diagnosis and management.

Spontaneous aortocaval fistula is an uncommon complication of an abdominal aortic aneurysm. This report details two cases of this condition presenting with symptoms attributable to arteriovenous shunting. Pain was not a prominent feature so that attention was not initially drawn to the abdomen. Diagnosis and management of the condition are discussed.

Aortocaval Fistula

A 77-year-old Caucasian male with a history of hypertension presented with sudden onset of lower back pain, nausea, and vomiting. Initial vital signs included a pulse rate of 104 beats/minute, a blood pressure of 117/72 mm Hg, and pulse oximetry of 95% on room air. Abdominal examination revealed a midline pulsatile mass and bruit. The patient had bilateral lower extremity edema, which was worse...

Spontaneous Aortocaval Fistula: A Case Report and Literature Review

Spontaneous aortocaval fistula is a rare complication of abdominal aortic aneurysms. We describe two cases of spontaneous aortocaval fistula. The first patient is a woman who was admitted with abdominal pain and pulsatile abdominal mass. Another patient was a man admitted with progressive abdominal pain and hypotension. Computed tomography (CT) scan in both patients showed an infrarenal aortic ...

Spontaneous Aortocaval Fistula Due to Ruptured Infrarenal Aortic Aneurysm

Dear editor, Aortocaval Fistula (ACF) is a rare condition of an Abdominal Aorta Aneurysm (AAA). ACF caused by perforation of atherosclerotic infrarenal aortic aneurysm into the adjacent IVC, iliac vein, or left renal vein. 1 Its incidence is approximately 1-2% which increases to 2-6.97% in the presence of ruptured AAA. 2 ACF is reported more in males (98%) with an average age of 64 years. 3 The...

spontaneous aortocaval fistula: a case report and literature review