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Iliocaval arteriovenous fistula presenting with multiple organ failure
Authors:RP Lim  DL Stella  RJ Dowling  WA Campbell  GS Hebbard
Abstract:Iliac arteriovenous fistulas are an uncommon condition, which may be spontaneous or traumatic in nature. Such fistulas classically present with a triad of high‐output cardiac failure, pulsatile abdominal mass with a bruit and unilateral leg ischaemia or venous congestion. We describe a case of an iliocaval fistula secondary to rupture of a common iliac artery aneurysm, with an unusual presentation of multiple organ failure, masquerading as sepsis. We describe the CT findings of iliocaval fistula, which was the means of diagnosis in this study.
Keywords:arteriovenous fistula  computed tomography  iliac aneurysm  multiple organ failure
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