Ruptured aortoiliac aneurysm with AV-fistula

Deutsche medizinische Wochenschrift
B KinkelD Pauleit

Abstract

A 65-year-old man presented an acute swelling of the left leg as the main sign. A pulsatile bruit could be auscultated over the abdomen. Doppler ultrasound suggested an aortic aneurysm with fistula. Dynamic bolus-triggered computed tomography demonstrated an aortoiliac aneurysm with a fistula into the confluence of the common iliac veins. An aorto-iliac graft was inserted surgically and and the patient recovered well. In patients with an acute swelling of a lower limb an aorto-iliac aneurysm, though a rare cause, should be considered.

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