Incidentally Detected Aortocaval Fistula Associated with an Abdominal Aortic Aneurysm: A Case Report

Authors

DOI:

https://doi.org/10.59667/sjoranm.v15i1.14

Keywords:

EVAR, asymptomatic, AAA, aortocaval fistula, complication

Abstract

An 86-year-old woman with a known abdominal aortic aneurysm underwent CT angiography with lower-extremity runoff for left-leg circulatory symptoms. Imaging demonstrated an aortocaval fistula, right atrial enlargement and dilated pelvic veins. The fistula was described as clinically asymptomatic and was treated by endovascular aneurysm repair eight days after detection. In the hours after the procedure, abdominal pain developed. CT angiography showed superior mesenteric artery occlusion and intestinal ischaemia. Palliative care was instituted, and the patient died the following day. This case illustrates incidental detection of an aortocaval fistula during imaging for another indication and the importance of assessing new abdominal symptoms after intervention.

References

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SJORANM article cover, Vol. 15 No. 1 (2025). Holographic symbolic illustration for article 52.

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Published

2025-01-29

Issue

Vol. 15 No. 1 (2025)

Section

Case reports

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Copyright (c) 2025 Thomas Saliba, David Rotzinger

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How to Cite

Saliba, T., & Rotzinger, D. (2025). Incidentally Detected Aortocaval Fistula Associated with an Abdominal Aortic Aneurysm: A Case Report. Swiss Journal of Radiology and Nuclear Medicine, 15(1), 5-8. https://doi.org/10.59667/sjoranm.v15i1.14

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