Aortocaval fistula and contained rupture of an abdominal aortic aneurysm presenting with pelvic venous congestion.

This case report describes pelvic venous congestion without associated high-output cardiac failure as an unusual presentation of an aortocaval fistula as a complication of a contained rupture of an abdominal aortic aneurysm. Options for caval control and management of perioperative problems unique to this situation are discussed.