The Uncommon presentation of Arteriovenous fistula.

Abstract

ABSTRACT

In this case we report the presence of the uncommon occurrence of the acquired traumatic femoral arterio-venous fistula as a mass in the left lower quadrant.  The 42-year-old man shot himself accidentally at the left thigh by a rifle 20 years before and sought a folk healer.  He came to the hospital with left lower quadrant abdominal mass.  From physical examinations, there was the femoral bruit and thrill associated with the mass.  The femoral angiography demonstrated that the mass is a huge iliac vein dilatation which is accompanied with the left femoral arteriovenous fistula.  This abnormal dilatation was thougnt to be arisen from the back pressure of the arterial blood.  The patient was operated upon successfully by division of the fistula, lateral femoral venorrhaphy, and interposition grafting or femoral artery.  Immediately after the operation the mass was collapsed and the general result was good.