Young girl presenting with heart failure 5 years after laparoscopic appendectomy. Case report of an ilio-iliac AV fistula

A. Kuehnl, A. Zimmermann, J. Pongratz, H. H. Eckstein

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Introduction: Secondary arteriovenous (AV) fistulae following appendectomy are very rare. Report: We report the case of a 15-year-old girl suffering from progressive heart failure and subacute abdominal pain caused by an ilio-iliac AV fistula 5 years after a complicated appendectomy. The vessel-wall defects were closed by open surgery and the aneurysmatic iliac veinwas gathered. Discussion: Open fistula repair should be recommended to healthy and/or young patients, especially when they are not fully-grown. Endovascular treatment should be the therapy of choice in high-risk patients or patients with local contraindications against open surgery.

Original languageEnglish
Pages (from-to)107-109
Number of pages3
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume40
Issue number1
DOIs
StatePublished - Jul 2010

Keywords

  • Appendectomy
  • Arteriovenous fistula
  • Heart failure
  • Late complication

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