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Spontaneous aorto-cisterna chyli anastomosis
Der Radiologe
|February 1, 1986
Summary
A rare spontaneous communication between the aorta and cisterna chyli caused severe abdominal pain. Diagnosis was confirmed using CT and aortography, revealing an unusual vascular connection.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Gastroenterology
Background:
- Spontaneous aorto-enteric fistulas are rare but life-threatening vascular emergencies.
- The cisterna chyli, the largest lymphatic sac, plays a crucial role in lymphatic drainage.
Observation:
- A 65-year-old patient presented with acute abdominal pain mimicking aortic dissection.
- Initial CT scan raised suspicion for an unusual vascular anomaly.
Findings:
- A spontaneous communication between the aorta and the cisterna chyli was diagnosed.
- Diagnostic confirmation involved aortography and selective cisterna chyli catheterization via the aorta.
Implications:
- This case highlights a rare cause of abdominal pain that can mimic aortic emergencies.
- Accurate diagnosis through advanced imaging is critical for appropriate management of aorto-lymphatic fistulas.