Affiliation:
1. Department of Diagnostic Radiology, M.F. Vladimirsky Moscow Regional Research and Clinical Institute
2. M.F. Vladimirsky Moscow Regional Research and Clinical Institute
Abstract
This article considers a rare case of rupture of abdominal aortic aneurysm with thrombosed aorto-caval fistula formation, with thrombosis of the inferior vena cava and iliac veins. During the multiphase computed tomography, early enhancement of inferior vena cava was not obtained, but non-contrasting aorto-caval fistula was revealed in the venous contrast phase, as well as the absence of the contrast in the adjacent parts of the inferior vena cava and iliac veins. The patient was successfully operated and the diagnosis was confirmed intraoperatively.
Publisher
The Scientific and Practical Society of Emergency Medicine Physicians
Reference14 articles.
1. Clancy K, Wong J, Spicher A. Abdominal Aortic Aneurysm: A Case Report and Literature Review. Perm J. 2019;23:18.218. PMID: 31926569 https://doi.org/10.7812/TPP/18.218
2. Lindholt JS, Diederichsen AC, Rasmussen LM, Frost L, Steffensen FH, Lambrechtsen J, et al. Survival, Prevalence, Progression and Repair of Abdominal Aortic Aneurysms: Results from Three Randomised Controlled Screening Trials Over Three Decades. Clin Epidemiol. 2020;12:95–103. PMID: 32158272 https://doi.org/10.2147/CLEP.S238502
3. Prozorov SA, Belozyorov GYe, Sharifullin FA, Dubrov EYa, Mikhailov IP, Goldina I. Radiation diagnosis of aortic aneurysmal ruptures with formation of anastomoses with the inferior cava and various organs. Journal of Radiology and Nuclear Medicine. 2007;1:31–35. (in Russ.).
4. Zarinsh KK, Geverts BL. Atlas sosudistoy khirurgii. Moscow: GEOTAR-Media Publ.; 2009. (in Russ.).
5. Schmidt R, Bruns C, Walter M, Erasmi H. Aorto-caval fistula – an uncommon complication of infrarenal aortic aneurysms. Thorac Cardiovasc Surg. 1994;42(4):208–111. PMID: 7825158 https://doi.org/10.1055/s-2007-1016489