Endovascular management of aortocaval fistula complicating abdominal aortic aneurysm presenting as an acute renal failure.

ABSTRACT:

Introduction

Aortocaval fistulas (ACFs) are a rare complication of abdominal aortic aneurysm (AAA), associated with high morbidity and mortality. It is thought that increased tension in the walls of large aneurysms can cause an inflammatory reaction resulting in adhesion to the adjacent vein and culminating in necrosis of the adherent layers and fistula formation.

Presentation of case

A 70-year-old male was referred from a local state center to the emergency department of our hospital, complaining of weakness and oliguria for two days. The laboratory analysis yielded high urea and creatinine levels, indicating an acute renal failure. Computed tomography images showed an aortocaval fistula complicating infrarenal abdominal aortic aneurysm. The patient was successfully managed

SUBMITTER: Esmat HA 

PROVIDER: S-EPMC7873572 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature