Young Girl Presenting with Heart failure 5 Years after Laparoscopic Appendectomy. Case Report of an Ilio-iliac AV Fistula

AbstractIntroductionSecondary arteriovenous (AV) fistulae following appendectomy are very rare.ReportWe report the case of a 15-year-old girl suffering from progressive heart failure and sub-acute abdominal pain caused by an ilio-iliac AV fistula 5 years after a complicated appendectomy. The vessel-wall defects were closed by open surgery and the aneurysmatic iliac vein was gathered.DiscussionOpen fistula repair should be recommended to healthy and/or young patients, especially when they are not fully-grown. Endovascular treatment should be the therapy of choice in high-risk patients or patients with local contraindications against open surgery