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Pre-operative diagnosis of an unusual complication of abdominal aortic aneurysm on multidetector computed tomography: a case report.

Jakanani GC, Chong PL - Cases J (2008)

Bottom Line: Spontaneous fistulation of an abdominal aortic aneurysm (AAA) into the inferior vena cava (IVC) is an unusual and infrequently encountered complication in clinical practice.In the majority of cases, it is a diagnosis made on the operating table, during surgical repair of AAA.Preoperative diagnosis of this rare complication is important as it allows appropriate anaesthetic and surgical planning thereby reducing morbidity and mortality.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Radiology, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK. jakanani@doctors.org.uk.

ABSTRACT
Spontaneous fistulation of an abdominal aortic aneurysm (AAA) into the inferior vena cava (IVC) is an unusual and infrequently encountered complication in clinical practice. In the majority of cases, it is a diagnosis made on the operating table, during surgical repair of AAA. We report a patient with an aortocaval fistula diagnosed preoperatively on multidetector computed tomography (MDCT). Preoperative diagnosis of this rare complication is important as it allows appropriate anaesthetic and surgical planning thereby reducing morbidity and mortality.

No MeSH data available.


Related in: MedlinePlus

Selected axial MDCT slice at a lower level shows an infrarenal AAA with fistulous communication with the IVC. Note the absence of the normal fat plane between the aorta and IVC.
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Figure 3: Selected axial MDCT slice at a lower level shows an infrarenal AAA with fistulous communication with the IVC. Note the absence of the normal fat plane between the aorta and IVC.

Mentions: On examination he had a palpable abdominal aneurysm but was haemodynamically stable. Plain abdominal X-ray showed curvilinear wall calcification in a AAA (Fig. 1). A CT scan was performed to exclude a leaking aneurysm and revealed a 7 cm infrarenal abdominal aortic aneurysm with fistulation into the inferior vena cava (Fig. 2 and Fig. 3).


Pre-operative diagnosis of an unusual complication of abdominal aortic aneurysm on multidetector computed tomography: a case report.

Jakanani GC, Chong PL - Cases J (2008)

Selected axial MDCT slice at a lower level shows an infrarenal AAA with fistulous communication with the IVC. Note the absence of the normal fat plane between the aorta and IVC.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2572602&req=5

Figure 3: Selected axial MDCT slice at a lower level shows an infrarenal AAA with fistulous communication with the IVC. Note the absence of the normal fat plane between the aorta and IVC.
Mentions: On examination he had a palpable abdominal aneurysm but was haemodynamically stable. Plain abdominal X-ray showed curvilinear wall calcification in a AAA (Fig. 1). A CT scan was performed to exclude a leaking aneurysm and revealed a 7 cm infrarenal abdominal aortic aneurysm with fistulation into the inferior vena cava (Fig. 2 and Fig. 3).

Bottom Line: Spontaneous fistulation of an abdominal aortic aneurysm (AAA) into the inferior vena cava (IVC) is an unusual and infrequently encountered complication in clinical practice.In the majority of cases, it is a diagnosis made on the operating table, during surgical repair of AAA.Preoperative diagnosis of this rare complication is important as it allows appropriate anaesthetic and surgical planning thereby reducing morbidity and mortality.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Radiology, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK. jakanani@doctors.org.uk.

ABSTRACT
Spontaneous fistulation of an abdominal aortic aneurysm (AAA) into the inferior vena cava (IVC) is an unusual and infrequently encountered complication in clinical practice. In the majority of cases, it is a diagnosis made on the operating table, during surgical repair of AAA. We report a patient with an aortocaval fistula diagnosed preoperatively on multidetector computed tomography (MDCT). Preoperative diagnosis of this rare complication is important as it allows appropriate anaesthetic and surgical planning thereby reducing morbidity and mortality.

No MeSH data available.


Related in: MedlinePlus