Arteriovenous fistula of iliac vessels as a complication of iatrogenic injury of iliac artery

Abstract

We presented a case of a 34 year old patient admitted to General and Vascular Surgery Department of the Regional Medical Centre in Opole because of chronic ischaemia of a lower right extremity with a suspicion of arteriovenous fistula of iliac vessels. Four years before the patient’s right iliac artery was injured during a laparoscopy. The arteriography of pelvic and lower extremities vessels was done and arteriovenous fistula of right common iliac vessels was diagnosed. The patient was qualified to be operated on. An iliac common artery was ligated above and below a fistula. A circulation in extremity was restored by aorto-iliac bypass. A postoperative cours was complicated by intestinal adhesions treated by operation. Twelve days after the operation the patient was discharged home in good general and local condition.