A case of iatrogenic ilio-iliac arteriovenous fistula initially misdiagnosed as deep venous thrombosis
10.11817/j.issn.1672-7347.2014.11.019
- VernacularTitle:医源性髂动静脉瘘误诊为深静脉血栓1例
- Author:
Yan LI
;
Qiang FU
;
Aizhong LIU
;
Zhaofen ZHENG
;
Wenjuan FAN
;
Zhenhua ZHU
;
Long CHEN
;
Wenjie DAI
- Publication Type:Journal Article
- Keywords:
arteriovenous ifstula;
deep venous thrombosis;
pulmonary embolism;
lumbar discectomy
- From:
Journal of Central South University(Medical Sciences)
2014;(11):1217-1220
- CountryChina
- Language:Chinese
-
Abstract:
Iliac arteriovenous ifstula (AVF) usually manifests in a wide range of symptoms similar to typical deep venous thrombosis (DVT), which often lead to delayed diagnosis or misdiagnosis. We reported a 51-year old woman who was performed lumbar discectomy and showed a progressive abdominal distention, dyspnea, and swollen left leg. She was initially diagnosed as deep vein thrombosis and the ifnal diagnosis was arteriovenous ifstula. hTe ifstula was successfully sealed by an endovascular covered stent. No further recurrence was found atfer a half year’s follow-up. hTis article summarized the experience regarding iliac arteriovenous ifstula misdiagnosed, and discussed the differential diagnosis between arteriovenous ifstula and pulmonary thromboembolism causedby deep vein thrombosis.