Journal of Emergencies, Trauma, and Shock
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CASE REPORT
Year : 2014  |  Volume : 7  |  Issue : 2  |  Page : 129-130

Images in medicine: Spontaneous aortocaval fistula complicating abdominal aortic aneurysm


Department of Radiology, "Luigi Sacco" University Hospital, Via G.B. Grassi 74, 20157 Milan, Italy

Correspondence Address:
Massimo Tonolini
Department of Radiology, "Luigi Sacco" University Hospital, Via G.B. Grassi 74, 20157 Milan
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.130888

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Aortocaval fistula represents a rare, life-threatening complication of abdominal aortic aneurysm that needs emergency surgical treatment. The presentation couples that of a rupturing aneurysm with other more characteristic features resulting from the massive arteriovenous shunt. Early recognition and emergency surgical treatment are essential in reducing mortality and morbidity. Prompt investigation with multidetector computed tomography (CT) angiography quickly and accurately establishes a precise preoperative diagnosis, thereby enabling proper planning of operative treatment.


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