OBJECTIVE: Traumatic arteriovenous (AV) fistulas present with a variety of clinical manifestations and may prove difficult to detect. The clinical sequelae of undiagnosed AV fistulas are significant and include dilatation of the vessels, venolymphatic trophic complications, and heart failure. In this article, we report two rare cases involving long-standing noniatrogenic AV fistulas of the pelvis that were detected using 64-MDCT angiography (CTA) 14 and 20 years after a trauma. CONCLUSION: With the increased use of CTA for the diagnosis and follow-up of trauma patients, we might better detect AV fistula formation and thereby prevent the onset of sequelae normally associated with chronically undiagnosed AV fistulas.
OBJECTIVE:Traumatic arteriovenous (AV) fistulas present with a variety of clinical manifestations and may prove difficult to detect. The clinical sequelae of undiagnosed AV fistulas are significant and include dilatation of the vessels, venolymphatic trophic complications, and heart failure. In this article, we report two rare cases involving long-standing noniatrogenic AV fistulas of the pelvis that were detected using 64-MDCT angiography (CTA) 14 and 20 years after a trauma. CONCLUSION: With the increased use of CTA for the diagnosis and follow-up of traumapatients, we might better detect AV fistula formation and thereby prevent the onset of sequelae normally associated with chronically undiagnosed AV fistulas.
Authors: Anastasios D Asimakopoulos; Lorenzo Dutto; Paolo Preziosi; Enrico Spera; Francesco Micali; Andrea De Carolis; Beniamino Iorio Journal: Case Rep Urol Date: 2016-02-28
Authors: Vinu Perinjelil; Tareq Maraqa; Alex Chavez Yenter; Helen Ohaeri; Leo Mercer; Anish Bansal; Gul Sachwani-Daswani Journal: J Surg Case Rep Date: 2018-09-21