Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5598252 | Annals of Vascular Surgery | 2017 | 12 Pages |
Abstract
The aim of this case study is to report a case of unusual manifestation of ruptured abdominal aortic aneurysm (AAA) involving an aortocaval fistula (ACF) as phlegmasia cerulea dolens (PCD). A 58-year-old male presented with acute signs of PCD of the right lower limb, confirmed on duplex ultrasonography. Computed tomography angiography revealed a 65-mm ruptured AAA with a large ACF. Successful emergent surgical repair was performed, using implantation of an aortobi-iliac graft with primary closure of the fistula and associated venous thrombectomy. PCD revealing a ruptured AAA with ACF is rare. Knowledge of this original entity might be the most important factor on the outcome.
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Authors
Iannis Ben Abdallah, Salma El Batti, José Batista da Costa, Pierre Julia, Jean-Marc Alsac,