Post-traumatic arteriovenous fistula of left renal vessels: case report of a silent complication for 23 years.

Abdominal trauma leads rarely to severe renal injury such as acquired arterioveinous fistula. Here, we present the case of a 46-year-old man with a history of suicide attempt by a gunshot in the abdomen. At that time, explorative laparotomy was unremarkable. He consulted 23 years later for chronic left lumbar pain and was diagnosed with an arterioveinous fistula of left renal vessels with a-10-cm aneurysm of the left renal artery. We performed a left nephrectomy and endovascular clamping was the best option to manage this giant aneurysm in a hostile abdomen.

Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Coralie Defert, Camille Le Bihan, Gontran Bernard, Arthur Laudren, Karel Pfeuty, Christophe Robin Source Type: research