Delayed presentation of ilio-iliac arteriovenous fistula following laparoscopic cholecystectomy treated with percutaneous graft-covered stent placement.
Major vascular injuries during laparoscopic cholecystectomy are rare, usually readily apparent, and immediately treated. We report a case of delayed presentation of a retroperitoneal vascular injury. The patient presented with abdominal pain and increasing edema of the lower extremities 1 year after laparoscopic cholecystectomy and was found to have an ilio-iliac arteriovenous fistula. Endovascular treatment was accomplished using a graft-covered polytetrafluoroethylene stent. The patient remained free of symptoms at 1-year follow-up.
Karigiannis
Michael
M
Department of Interventional Neuroradiology, Athens Medical Center Hospital, Athens, Greece.
Pavlidis
George
G
Papageorgiou
George
G
Feretis
Christos
C
Stamou
Konstantinos M
KM
Vlachopoulos
Panayotis
P
D001164:Arteriovenous Fistula / Q000209:etiology* / Q000628:therapy*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000293:injuries; D007084:Iliac Vein / Q000293:injuries; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D015607:Stents
D011138:Polytetrafluoroethylene