A Case of Aortocaval Fistula Due to Ruptured Abdominal Aortic Aneurysm

Abstract

A 61-year-old man was urgently referred to our hospital with complaints of nausea and abdominal discomfort which started a few days before. Palpation of the abdomen revealed a pulsatile mass and upon auscultation, there was note of a systolic bruit. The abdominal enhanced computed tomography scan showed the presence of an abdominal aortic aneurysm (AAA) which ruptured into the inferior vena cava (IVC). Replacement of the AAA with a gelatin-coated Y-graft was performed.