Spontaneous internal ilio-iliac fistula in an elderly woman presenting as heart failure
2006

Spontaneous Ilio-Iliac Fistula in an Elderly Woman

Sample size: 1 publication Evidence: low

Author Information

Author(s): Tan GP MRad, Abdullah BJJ MBBS, FRCR, Kunanayagam S MRCP

Primary Institution: Department of Biomedical Imaging, Faculty of Medicine, University of Malaya

Conclusion

The case highlights the rarity of spontaneous ilio-iliac arteriovenous fistulas and the challenges in diagnosis and management.

Supporting Evidence

  • The patient presented with symptoms of right heart failure and had a history of paroxysmal supraventricular tachycardia.
  • CT angiography confirmed a large fistulous communication between the right internal iliac artery and vein.
  • Embolisation of the fistula was not feasible due to its large size and tortuous vessels.

Takeaway

This study talks about an 81-year-old woman who had a rare condition where blood vessels in her body were connected in a way they shouldn't be, causing heart problems.

Methodology

The case was assessed using ultrasound, CT angiography, and digital subtraction angiography.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

An 81-year-old woman.

Digital Object Identifier (DOI)

10.2349/biij.2.2.e13

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