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[A case of iatrogenic ilio-iliac arteriovenous fistula initially misdiagnosed as deep venous thrombosis.]

[A case of iatrogenic ilio-iliac arteriovenous fistula initially misdiagnosed as deep venous thrombosis.]

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2014 Nov;39(11):1217-1220

Authors: Li Y, Fu Q, Liu A, Zheng Z, Fan W, Zhu Z, Chen L, Dai W

Abstract
Iliac arteriovenous fi stula (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 fi nal diagnosis was arteriovenous fi stula. Th e fi stula was successfully sealed by an endovascular covered stent. No further recurrence was found aft er a half year’s follow-up. Th is article summarized the experience regarding iliac arteriovenous fi stula misdiagnosed, and discussed the diff erential diagnosis between arteriovenous fi stula and pulmonary thromboembolism caused by deep vein thrombosis.

PMID: 25432380 [PubMed – as supplied by publisher]

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