Turkish Journal of Gastroenterology
Case Report

Iliac arteriovenous fistula presenting with ascites

1.

Department of Cardiovascular Surgery, Bozok University Faculty of Medicine, Yozgat, Turkey

2.

Department of Cardiology, Bozok University Faculty of Medicine, Yozgat, Turkey

3.

Department of Radiology, Bozok University Faculty of Medicine, Yozgat, Turkey

4.

Department of Neurology, Bozok University Faculty of Medicine, Yozgat, Turkey

5.

Department of Neurosurgery, Bozok University Faculty of Medicine, Yozgat, Turkey

6.

Department of Internal Medicine, Bozok University Faculty of Medicine, Yozgat, Turkey

7.

Department of Cardiovascular Surgery, Erzincan University Faculty of Medicine, Erzincan, Turkey

Turk J Gastroenterol 2014; 25: 210-212
DOI: 10.5152/tjg.2014.4937
Read: 1639 Downloads: 628 Published: 25 July 2019

Abstract

Arteriovenous fistula presents rarely with ascites. Diagnosis, with an elusive clinical presentation, is often incidental or delayed. A 35-year-old woman presented with ascites and cardiac decompensation. Contrast enhanced computed tomography revealed arteriovenous fistula between the left common iliac artery aneurysm and the left common iliac vein. The patient underwent endovascular treatment with arterial access was performed, with implantation of a stent graft in the iliac artery to cover the fistulous communication. At follow-up 1 month later, she was asymptomatic without ascites. Arteriovenous fistula should be considered in the differential diagnosis of patients with ascites and cardiac decompensation. The endovascular treatment of the arteriovenous fistula should be considered as a first line option.

Files
EISSN 2148-5607