Dergiler / Turkish Journal of Gastroenterology / 2004 / Cilt: 15 - Sayı: 3
Spontaneous aortocaval fistula presenting with acute liver and renal failure: A case report
- Sayfa
- 169–172
- DOI
- —
Özet
Spontan aortakaval fistül nadirdir ve rüptüre abadominal aort anevrizuvaların %3-6’sını oluşturur. Tanı bazen güçtür ve klasik belirtiler yalnızca %20-50 hastada görülür. Preopenatif tanı, uygun hazırlık için kritiktir. Cerrahi onarım ve standart tedavi yoktur. Burada akut karaciğer ve böbrek yetmezliğine yol açan bir spontan fistül olgusu sunulmuştur.
Abstract
Spontaneous aortocaval fistula is rare, occurring only in 3%-6% of all ruptured abdominal aortic aneurysms. A definitive diagnosis of aortocaval fistula is sometimes difficult, as the classic diagnostic signs (pulsatile abdominal mass with bruit, high-output heart failure and acute dyspnea) are present only in 20%-50% of all such cases. Pre-operative diagnosis is crucial, as adequate preparation has to be made for the massive bleeding expected at operation. Surgical repair of aortocaval fistula is now standardized repair of the fistula. We report herein a case of spontaneous aortocaval fistula, which presented with liver and renal failure.