A 57-year-old man who 16 years earlier had been operated on for right-sided inguinal hernia and since had undergone reoperation four times for recurrent symptoms from the region, presented with an arteriovenous fistula originating from the right inguinal area, with varicose veins spreading towards the umbilicus. Angiography confirmed the diagnosis and the fistula was resected, after which the symptoms completely disappeared.
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