[Aorto-caval fistula as a results of abdominal aortic aneurysm rupture imitating acute renal insufficiency].

Wiad Lek

Katedry i Kliniki Chirurgii Ogólnej i Naczyń Slaskiej Akademii Medycznej w Katowicach.

Published: June 2003

Aorto-caval fistula (ACF) is a rare complication of abdominal aortic aneurysm. It occurs in 1-6% of cases. The classic diagnostic signs of an ACF (pulsatile abdominal mass with bruit and right ventricular failure) are present only in a half of the patients. The most common diagnostic imaging procedures like ultrasound and computed tomography often are not sufficient enough. This leads to the delay in diagnosis, which has a great impact on the results of operation. We report a case of a patient, who was treated before admission to the Clinic because of azotemia and oliguria suggesting renal failure.

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