Citation

Defert C, Le Bihan C, Bernard G, Laudren A, Pfeuty K, Robin C. Ann. Vasc. Surg. 2022; 79: 443.e1-443.e3.

Copyright

(Copyright © 2022, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1016/j.avsg.2021.08.024

PMID

34656715

Abstract

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.

Language: en

Keywords

Humans; Male; Middle Aged; Time Factors; Wounds, Gunshot; Suicide, Attempted; Aneurysm; Vascular System Injuries; Abdominal Injuries; Arteriovenous Fistula; Asymptomatic Diseases; Constriction; Endovascular Procedures; Nephrectomy; Renal Artery; Renal Veins