Yılmaz Yunus Keser, Çelikbilek Mehmet, Sarıkaya Savaş, Okur Aylin, Çelikbilek Asuman, Atalay Tugay, Akyol Lütfi, Sözen Gencer Nagehan, Çelik Serkan, Ekim Hasan
Department of Cardiovascular Surgery, Bozok University Faculty of Medicine, Yozgat, Turkey.
Turk J Gastroenterol. 2014 Dec;25 Suppl 1:210-2. doi: 10.5152/tjg.2014.4937.
Arteriovenous fistula presents rarely with ascites. Diagnosis, with an elusive clinical presentation, is often incidental or delayed. A 35-year-old woman presented with ascites and cardiac decompensation. Contrast enhanced computed tomography revealed arteriovenous fistula between the left common iliac artery aneurysm and the left common iliac vein. The patient underwent endovascular treatment with arterial access was performed, with implantation of a stent graft in the iliac artery to cover the fistulous communication. At follow-up 1 month later, she was asymptomatic without ascites. Arteriovenous fistula should be considered in the differential diagnosis of patients with ascites and cardiac decompensation. The endovascular treatment of the arteriovenous fistula should be considered as a first line option.
动静脉瘘很少表现为腹水。由于临床表现难以捉摸，诊断往往是偶然的或延迟的。一名35岁女性出现腹水和心脏代偿失调。增强CT显示左髂总动脉瘤与左髂总静脉之间存在动静脉瘘。患者接受了血管内治疗，通过动脉入路，在髂动脉植入覆膜支架以覆盖瘘口。1个月后随访时，她无症状且无腹水。在腹水和心脏代偿失调患者的鉴别诊断中应考虑动静脉瘘。动静脉瘘的血管内治疗应被视为一线选择。
