Spontaneous Aortocaval Fistula: A Case Report and Literature Review

AUTHORS

H Ravari 1 , M Moini 2 , M Vahedian 2 , M Aliakbarian 3 , *

1 Department of Vascular Surgery, Mashhad Vascular and Endovascular Research Center, Imam Reza Hospital, Mashhad University of Medical Sciences, Iran

2 Department of Vascular Surgery, Sina University Hospital, Tehran University of Medical Sciences, Tehran, Iran

3 Assistant professor of General Surgery, Surgical Oncology Research Center,Imam Reza Hospital, Mashhad University of Medical Sciences, [email protected], Iran

How to Cite: Ravari H, Moini M, Vahedian M, Aliakbarian M. Spontaneous Aortocaval Fistula: A Case Report and Literature Review, Iran Red Crescent Med J. Online ahead of Print ; 13(4):276-279.

ARTICLE INFORMATION

Iranian Red Crescent Medical Journal: 13 (4); 276-279
Article Type: Case Report
Received: August 10, 2010
Accepted: October 18, 2010

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Abstract

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 aneurysm and simultaneous contrast enhancement in the inferior vena cava. Both patients underwent an urgent laparotomy in which the diagnosis of an aortocaval fistula was confirmed. We review the literature on spontaneous aortocaval fistula as a consequence of complicated aortic aneurysms.  

Keywords

Spontaneous Aortocaval fistula Abdominal aortic aneurysm Iran

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