Lijecnicki vjesnik 2007;129(3-4)
SPONTANEOUS AORTOCAVAL FISTULA
Višnja Nesek-Adam, Elvira Grizelj-Stojčić, Tomislav Trajbar, Predrag Pavić, Ante Ivkošić
Abstract
Summary. Spontaneous aortocaval fistula is a rare complication of abdominal aortic aneurysm rupture. A definitive preoperative diagnosis sometimes is difficult, because of nonspecific and highly variable clinical symptoms. Classic signs such as low back pain, palpable pulsatile abdominal mass, abdominal bruit and thrill, dyspnea and high-output cardiac failure are present in less than 50% of cases. In this article we report the case of a 68-year-old patient with an aortocaval fistula who was admitted in hospital because of abdominal pain and hematuria.