Young girl presenting with heart failure 5 years after laparoscopic appendectomy. Case report of an ilio-iliac AV fistula.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 20347352.
- Also identified by DOI 10.1016/j.ejvs.2010.02.013.
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Abstract
Secondary arteriovenous (AV) fistulae following appendectomy are very rare. We report the case of a 15-year-old girl suffering from progressive heart failure and sub-acute abdominal pain caused by an ilio-iliac AV fistula 5 years after a complicated appendectomy. The vessel-wall defects were closed by open surgery and the aneurysmatic iliac vein was gathered. Open fistula repair should be recommended to healthy and/or young patients, especially when they are not fully-grown. Endovascular treatment should be the therapy of choice in high-risk patients or patients with local contraindications against open surgery.
Medical subject headings
- Appendectomy
- Arteriovenous Fistula
- Heart Failure
- Iliac Artery
- Iliac Vein
- Laparoscopy