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A Rare Complication of Abdominal Aortic Aneurysm: A Case Report of Aortocaval Fistula
Aortocaval fistula is a rare but serious complication of an abdominal aortic aneurysm characterized by communication between the dilated abdominal aorta and inferior vena cava. Prompt diagnosis and treatment are essential to reduce the mortality rate. A 66-year-old man with a history of poorly contr...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10212722/ https://www.ncbi.nlm.nih.gov/pubmed/37252494 http://dx.doi.org/10.7759/cureus.38106 |
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author | Aldahman, Raghad S Alghadouni, Saleh A Alharbi, Ahlam S |
author_facet | Aldahman, Raghad S Alghadouni, Saleh A Alharbi, Ahlam S |
author_sort | Aldahman, Raghad S |
collection | PubMed |
description | Aortocaval fistula is a rare but serious complication of an abdominal aortic aneurysm characterized by communication between the dilated abdominal aorta and inferior vena cava. Prompt diagnosis and treatment are essential to reduce the mortality rate. A 66-year-old man with a history of poorly controlled hypertension, diabetes mellitus, and dyslipidemia presented to the emergency department with sudden, severe lower back pain. Laboratory investigations showed a rapid drop in hemoglobin levels and increased lactate levels. A CT scan revealed an aortocaval fistula resulting from a rupture of the abdominal aorta. The patient underwent emergency surgery, but a cardiac arrest occurred during the procedure, and he could not be resuscitated. Despite advances in imaging and surgical techniques, the mortality rate of aortocaval fistula remains high. It is crucial for clinicians to maintain a high level of suspicion for aortocaval fistula in patients with an abdominal aortic aneurysm who present with a sudden onset of abdominal and back pain and to initiate appropriate resuscitative measures and an urgent surgical consultation. |
format | Online Article Text |
id | pubmed-10212722 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-102127222023-05-27 A Rare Complication of Abdominal Aortic Aneurysm: A Case Report of Aortocaval Fistula Aldahman, Raghad S Alghadouni, Saleh A Alharbi, Ahlam S Cureus Emergency Medicine Aortocaval fistula is a rare but serious complication of an abdominal aortic aneurysm characterized by communication between the dilated abdominal aorta and inferior vena cava. Prompt diagnosis and treatment are essential to reduce the mortality rate. A 66-year-old man with a history of poorly controlled hypertension, diabetes mellitus, and dyslipidemia presented to the emergency department with sudden, severe lower back pain. Laboratory investigations showed a rapid drop in hemoglobin levels and increased lactate levels. A CT scan revealed an aortocaval fistula resulting from a rupture of the abdominal aorta. The patient underwent emergency surgery, but a cardiac arrest occurred during the procedure, and he could not be resuscitated. Despite advances in imaging and surgical techniques, the mortality rate of aortocaval fistula remains high. It is crucial for clinicians to maintain a high level of suspicion for aortocaval fistula in patients with an abdominal aortic aneurysm who present with a sudden onset of abdominal and back pain and to initiate appropriate resuscitative measures and an urgent surgical consultation. Cureus 2023-04-25 /pmc/articles/PMC10212722/ /pubmed/37252494 http://dx.doi.org/10.7759/cureus.38106 Text en Copyright © 2023, Aldahman et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Emergency Medicine Aldahman, Raghad S Alghadouni, Saleh A Alharbi, Ahlam S A Rare Complication of Abdominal Aortic Aneurysm: A Case Report of Aortocaval Fistula |
title | A Rare Complication of Abdominal Aortic Aneurysm: A Case Report of Aortocaval Fistula |
title_full | A Rare Complication of Abdominal Aortic Aneurysm: A Case Report of Aortocaval Fistula |
title_fullStr | A Rare Complication of Abdominal Aortic Aneurysm: A Case Report of Aortocaval Fistula |
title_full_unstemmed | A Rare Complication of Abdominal Aortic Aneurysm: A Case Report of Aortocaval Fistula |
title_short | A Rare Complication of Abdominal Aortic Aneurysm: A Case Report of Aortocaval Fistula |
title_sort | rare complication of abdominal aortic aneurysm: a case report of aortocaval fistula |
topic | Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10212722/ https://www.ncbi.nlm.nih.gov/pubmed/37252494 http://dx.doi.org/10.7759/cureus.38106 |
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