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[Acute liver failure revealing aorto-caval fistula]
P Guillem1, T Mohieddine, H Hassan
1Service de Chirurgie Digestive et Générale, Hôpital Cl.-Huriez, Centre Hospitalier Universitaire, Lille Cedex.
Gastroenterologie Clinique Et Biologique
|June 9, 2000
Abstract:
We report the case of a 49-year-old woman with an aorto-caval fistula following lumbar diskectomy. Initial symptoms included isolated hepatalgia, and were later associated with jaundice and hepatomegaly, suggesting acute liver failure due to right heart failure. Only 9 previous cases of postoperative aorto-caval fistula have been reported and our case emphasizes the possibility of a pseudo-digestive presentation of high output arteriovenous fistula.