Aysel TÜRKVATAN, Tülay ÖLÇER, Turhan CUMHUR

Iliac arteriovenous fistula secondary to iliac aneurysm rupture: Multidetector computed tomographic angiography findinds

Aterosklerotik iliyak arter anevrizmasının spontan rüptürüne sekonder olarak gelişen iliyak arteriyovenöz fistül oldukça nadir görülen erken tanı ve tedavi gerektiren bir durumdur. Biz burada multidedektör bilgisayarlı tomofrafi anjiyografi ile kısa zamanda tanı alan iliyak arteriyovenöz fistül olgusunun görüntüleme bulgularını sunduk.

İliyak anevrizma rüptürüne sekonder gelişen iliyak arteriyovenöz fistül: multidedektör bilgisayarlı tomografik anjiyografi bulguları

Iliac arteriovenous fistula occurring as a complication of spontaneous rupture of an atherosclerotic iliac aneurysm is extremely rare. Early diagnosis is important as it allows immediate intervention. Herein, we present that the imaging findings of iliac arteriovenous fistula complicating iliac artery aneurysm which was diagnosed immediately using multidetector row CT angiography.

PDF

___

1. Vallina EA, Perez MA, Pascual MF, et al. Iliac arteriovenous fistula secondary to iliac aneurysm rupture associated with pulmonary embolism and anuria. Ann Vasc Surg 2000;14:170-3 2. Morrow C, Lewinstein C, Ben-Menachem Y. Spontaneous iliac arteriovenous fistula. J Vasc Surg 1987;6:524-7 3. Gregoric ID, Jacobs MJ, Reul GJ, et al. Spontaneous common iliac arteriovenous fistula manifested by acute renal failure: A case report. J Vasc Surg 1991;14:92-7 4. Zajtchuk R, Yacoub M, Kittle CF. Spontaneous arteriovenous fistula between the right common iliac vessels. Surgery 1971;69:194-200 5. Franzini M, Altana P, Annessi V, et al. Iatrogenic vascular injuries following lumbar disc surgery: case report and review of the literature. J Cardiovasc Surg 1987;28:727-30 6. Weimann S, Flora G. Primary arteriovenous fistula between the common iliac vessels secondary to aneurysmal disease. Surgery 1987;102: 91-5 7. Fenster MS, Dent JM, Tribble C et al. Aortacaval fistula complicating abdominal aortic aneurysm: case report and literature review. Cathet Cardiovasc Diag 1996; 38: 75-9 8. Alarcon M, Quiroga S, Sebastia MC,et al. Arteriovenous fistula secondary to iliac mycotic aneurysm: Helical CT findings. Abdom Imaging 2000;25:55-8 9. McAuley CE, Peitzman AB, de Vries EJ, et al. The syndrome of spontaneous iliac arteriovenous fistula: a distcint clinical and pathophysiologic entity. Surgery 1986; 99:373-7 10. Turse JC, Dunlap DB. Spontaneous arteriovenous fistula between the left common iliac artery and iliac vein. Am J Med Sci 1989;297:190-2 11. Subber SW, Russ PD, Whitehill TA, et al. Diagnosis and localization of spontaneous aortacaval fistula by computed tomography with angiographic confirmation:case report. Can Assoc Radiol J 1998;49:35-8 12. Frauenfelder T, Wildermuth S, Marincek B, et al. Nontraumatic emergent abdominal vascular conditions: advantages of multi-detector row CT and three-dimensional imaging. Radiographics 2004; 24:481-96 13. Coulier B, Tilquin O, Etienne PY. Multidetector row CT diagnosis of aortacaval fistula complicating aortic aneurysm: A case report. Emerg Radiol 2004;11:100-3 14. Wang EA, Lee MH, Wang MC, et al. Iatrogenic left iliac-caval fistula: imaging and endovascular treatment. AJR 2004; 183:1032-4 15. Schott EE, Fitzgerald SW, McCarthy WJ, et al. Aortacaval fistula: diagnosis with MR angiography.AJR 1997;169:59-61