[Ruptured aortoiliac aneurysm with AV-fistula].
METHODS
A 65-year-old man presented an acute swelling of the left leg as the main sign. A pulsatile bruit could be auscultated over the abdomen.


METHODS
Doppler ultrasound suggested an aortic aneurysm with fistula. Dynamic bolus-triggered computed tomography demonstrated an aortoiliac aneurysm with a fistula into the confluence of the common iliac veins.


METHODS
An aorto-iliac graft was inserted surgically and and the patient recovered well.


CONCLUSIONS
In patients with an acute swelling of a lower limb an aorto-iliac aneurysm, though a rare cause, should be considered.
Kinkel
B
B
Gemeinschaftspraxis für Radiologie und Nuklearmedizin, Bad Honnef. boriskinkel@web.de
Ertecoglou
E
E
Pauleit
D
D
D000368:Aged; D017542:Aneurysm, Ruptured / Q000175:diagnosis* / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis* / Q000601:surgery; D001018:Aortic Diseases / Q000175:diagnosis* / Q000601:surgery; D001019:Aortic Rupture / Q000175:diagnosis* / Q000601:surgery; D001164:Arteriovenous Fistula / Q000175:diagnosis* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D003937:Diagnosis, Differential; D006801:Humans; D017543:Iliac Aneurysm / Q000175:diagnosis* / Q000601:surgery; D007866:Leg / Q000098:blood supply*; D008297:Male; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color; D014682:Vena Cava, Inferior / Q000601:surgery