Prüss H, Swalve S
Abteilung für Radiologische Diagnostik, Christian-Albrechts-Universität zu Kiel.
Aktuelle Radiol. 1992 Mar;2(2):104-7.
A case of a spontaneous aortocaval fistula that was detected by computed tomography in a patient with an arteriosclerotic infrarenal aortic aneurysm, is reported. To our knowledge, the direct visualisation of an aortocaval fistula by computed tomography has been reported only once. The lack of local symptoms delayed the diagnosis. The origin of the fistula from a second, false lumen of the aneurysm was also unusual. The clinical findings and the use of computed tomography to verify the diagnosis are discussed.
报告了1例在患有动脉硬化性肾下主动脉瘤的患者中通过计算机断层扫描检测到的自发性主动脉腔静脉瘘。据我们所知，通过计算机断层扫描直接显示主动脉腔静脉瘘仅报道过1次。缺乏局部症状导致诊断延迟。瘘管起源于动脉瘤的第二个假腔也很罕见。讨论了临床表现以及使用计算机断层扫描来验证诊断的情况。
