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[Aorto-cava fistula complicating abdominal aorta aneurysm]
L Quenum1, F Mvumbi1, B Alami1
1Service de radiologie, faculté de médecine et de pharmacie, CHU Hassan II, université Sidi-Mohammed-Ben-Abdellah, Fès, Maroc.
Journal De Medecine Vasculaire
|July 9, 2018
Summary
A rare rupture of a sub-renal aortic aneurysm into the inferior vena cava caused an aorto-cava fistula. Diagnosis relies on computed tomography, with surgical or endovascular treatment options available.
Area of Science:
- Vascular Surgery
- Radiology
Background:
- Aorto-cava fistula is a rare but often fatal complication of abdominal aortic aneurysms.
- Rupture of a sub-renal aortic aneurysm into the inferior vena cava is a specific presentation.
Observation:
- The case involved a patient with a ruptured sub-renal aortic aneurysm directly forming a fistula with the inferior vena cava.
- This complication, while infrequent, carries a high mortality rate.
Findings:
- Abdominal computed tomography (CT) with multi-planar reconstructions is the primary diagnostic modality.
- CT imaging facilitates accurate diagnosis and essential preoperative planning for intervention.
Implications:
- Prompt diagnosis and appropriate management are critical for patient survival.
- Treatment strategies include both open surgical repair and endovascular approaches.
- This case underscores the importance of advanced imaging in managing complex vascular emergencies.
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