Abstract
A 64 year old non-smoking man without concomitant disorders was admitted with sudden onset of abdominal pain and hypotension. Computed tomography angiography (CTA) showed a 90 mm infrarenal abdominal aortic aneurysm (AAA) with free retroperitoneal fluid. The AAA was treated as a rupture by endovascular repair. After re-evaluation of the pre-operative CTA, the retroperitoneal fluid was considered secondary to renal oedema caused by aorto-left renal vein (LRV) fistula. (A) Post-operative CTA showed a massive endoleak (arrow) through the fistula confirmed by phlebography (B, arrows). This was resolved by implanting a self expandable stent graft in the LRV.Image 1
Highlights
A 64 year old non-smoking man without concomitant disorders was admitted with sudden onset of abdominal pain and hypotension
The abdominal aortic aneurysm (AAA) was treated as a rupture by endovascular repair
After re-evaluation of the pre-operative Computed tomography angiography (CTA), the retroperitoneal fluid was considered secondary to renal oedema caused by aorto-left renal vein (LRV) fistula. (A) Post-operative CTA showed a massive endoleak through the fistula confirmed by phlebography (B, arrows)
Summary
A 64 year old non-smoking man without concomitant disorders was admitted with sudden onset of abdominal pain and hypotension.
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