• Ann Emerg Med · Mar 1995

    Case Reports

    Spontaneous aortocaval fistula.

    • D K Potyk and C R Guthrie.
    • Department of Internal Medicine, University of California at Los Angeles.
    • Ann Emerg Med. 1995 Mar 1;25(3):424-7.

    AbstractRupture of an abdominal aortic aneurysm into the inferior vena cava is uncommon. A classic syndrome of high-output heart failure, continuous abdominal bruit, and renal insufficiency has been described and permits a clinical diagnosis if an aortocaval fistula is considered in the differential diagnosis. Classic signs and symptoms can be misinterpreted and are present in less than 50% of cases. Physicians should consider abdominal ultrasonography and aortography in stable patients, followed by prompt surgical intervention. We report the case of a patient with an aortocaval fistula.

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