Spontaneous Aortocaval Fistula Presenting with Fever, Low Back Pain and Progressive Jaundice: A Case Report

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Published: Sep 17, 2024

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Nuttapon Arayawudhikul
Division of Cardiovascular Thoracic Surgery, Department of Surgery, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, 30000
Teera Hemrungroj
Division of Cardiovascular Thoracic Surgery, Department of Surgery, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, 30000
Komkrit Komuttrarin
Division of Cardiovascular Thoracic Surgery, Department of Surgery, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, 30000

Abstract

A case of aortocaval fistula caused by mycotic abdominal aortic aneurysm was reported. A 56-year-old man was admitted to our hospital with the complaints of low back pain, easily fatique for 2 weeks. On physical examination, he had deep jaundice with abdominal mass. Enhanced computerized tomography scans showed aortocaval fistula. The patient exhibited high output failure and progressive jaundice. Urgency aneurysmorrhaphy  and inferior vena cava repair were performed. Postoperative examination revealed no leakage from the aorta to the vena cava. Conventional surgery for aortocaval fistula still efficacious and reliable for patients and surgeons.

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How to Cite
Arayawudhikul, N., Hemrungroj, T., & Komuttrarin, K. (2024). Spontaneous Aortocaval Fistula Presenting with Fever, Low Back Pain and Progressive Jaundice: A Case Report. Maharat Nakhon Ratchasima Hospital Journal, 33(2), 125–130. retrieved from https://he04.tci-thaijo.org/index.php/MNRHJ/article/view/1843
Issue
Vol. 33 No. 2 (2009): May - August
Section
Case Report
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