Aortocaval fistula: Difference between revisions
ClaireLewis (talk | contribs) (Created page with "==Background== ==Clinical Features== ==Differential Diagnosis== ==Evaluation== ==Management== ==Disposition== ==See Also== ==External Links== ==References== <references/>") |
ClaireLewis (talk | contribs) No edit summary |
||
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
*Complication of [[abdominal aortic aneurysm]] | |||
*Rare (<1% of all AAAs, ~3% of ruptured AAAs) but life-threatening (mortality ~50%) | |||
*Inflammation around aorta--> adherence of aorta to vein --> pressure and erosion into vein--> fistula | |||
==Clinical Features== | ==Clinical Features== | ||
*Presentation depends on origin, size, and location of fistula | |||
*Signs/symptoms of [[AAA]] (abdominal/flank/back pain, shock if ruptured) | |||
*High output cardiac failure | |||
*Pedal edema (due to venous hypertension) | |||
*Renal insufficiency (due to reduced perfusion to kidneys) | |||
*Hematuria | |||
*Bruit | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
==Evaluation== | ==Evaluation== | ||
*US to identify AAA | |||
*CT angio | |||
==Management== | ==Management== | ||
*Treat hypovolemia/shock | |||
*Emergent surgical repair | |||
==Disposition== | ==Disposition== | ||
*Admit | |||
==See Also== | ==See Also== | ||
*[[AAA] | |||
==External Links== | ==External Links== | ||
Revision as of 23:17, 4 September 2016
Background
- Complication of abdominal aortic aneurysm
- Rare (<1% of all AAAs, ~3% of ruptured AAAs) but life-threatening (mortality ~50%)
- Inflammation around aorta--> adherence of aorta to vein --> pressure and erosion into vein--> fistula
Clinical Features
- Presentation depends on origin, size, and location of fistula
- Signs/symptoms of AAA (abdominal/flank/back pain, shock if ruptured)
- High output cardiac failure
- Pedal edema (due to venous hypertension)
- Renal insufficiency (due to reduced perfusion to kidneys)
- Hematuria
- Bruit
Differential Diagnosis
Evaluation
- US to identify AAA
- CT angio
Management
- Treat hypovolemia/shock
- Emergent surgical repair
Disposition
- Admit
See Also
- [[AAA]