Diagnosis of clinically unsuspected posttraumatic arteriovenous fistulas of the pelvis using CT angiography.
OBJECTIVE
Traumatic arteriovenous (AV) fistulas present with a variety of clinical manifestations and may prove difficult to detect. The clinical sequelae of undiagnosed AV fistulas are significant and include dilatation of the vessels, venolymphatic trophic complications, and heart failure. In this article, we report two rare cases involving long-standing noniatrogenic AV fistulas of the pelvis that were detected using 64-MDCT angiography (CTA) 14 and 20 years after a trauma.


CONCLUSIONS
With the increased use of CTA for the diagnosis and follow-up of trauma patients, we might better detect AV fistula formation and thereby prevent the onset of sequelae normally associated with chronically undiagnosed AV fistulas.
Chen
Jennifer K
JK
Johns Hopkins University School of Medicine, Baltimore, MD 21287-0801, USA.
Johnson
Pamela T
PT
Fishman
Elliot K
EK
D000328:Adult; D000792:Angiography / Q000379:methods*; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging*; D006801:Humans; D033162:Incidental Findings; D008297:Male; D010388:Pelvis / Q000002:abnormalities / Q000098:blood supply / Q000000981:diagnostic imaging* / Q000293:injuries*; D014057:Tomography, X-Ray Computed / Q000379:methods*