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Case Reports
. 2010 Jul;40(1):107-9.
doi: 10.1016/j.ejvs.2010.02.013. Epub 2010 Mar 26.

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

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Case Reports

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

A Kuehnl et al. Eur J Vasc Endovasc Surg. 2010 Jul.
Free article

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 sub-acute 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 vein was 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.

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