Asymptomatic Hypogastric Arteriovenous Fistula Detected 40 Years After Shotgun Injury

Authors

  • Carlos Veterano Angiology and Vascular Surgery Department, Centro Hospitalar e Universitário do Porto, Portugal https://orcid.org/0000-0003-2476-7428
  • Sérgio Teixeira Angiology and Vascular Surgery Department, Centro Hospitalar e Universitário do Porto, Portugal image/svg+xml https://orcid.org/0000-0001-7752-4169
  • Pedro Sá Pinto Angiology and Vascular Surgery Department, Centro Hospitalar e Universitário do Porto, Portugal
  • Rui Almeida Angiology and Vascular Surgery Department, Centro Hospitalar e Universitário do Porto, Portugal; Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Portugal

DOI:

https://doi.org/10.48729/pjctvs.234

Abstract

84-year-old male, with a history of firearm incident with accidental gunshot shooting, and multiple projectile injuries, 40 years prior. No advanced medical treatment was required at the time.

A CT was recently performed for unrelated reasons, and the scout view shows multiple projectiles, a total of 50, scattered in the thoracoabdominopelvic region as well as the lower limbs. CT angiography exposed CT’s scout view of the multiple projectiles scattered.

an arteriovenous fistula in posterior branches of the hypogastric artery with moderate dilations of the superior gluteal vein.

The patient was completely asymptomatic and had no findings suggestive of AVF-related cardiac failure. Physical examination was unremarkable. Conservative treatment without further imagiological follow-up was decided, if patient continued asymptomatic.

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Published

05-10-2022

How to Cite

1.
Veterano C, Teixeira S, Sá Pinto P, Almeida R. Asymptomatic Hypogastric Arteriovenous Fistula Detected 40 Years After Shotgun Injury. Rev Port Cir Cardiotorac Vasc [Internet]. 2022 Oct. 5 [cited 2024 May 22];29(3):89. Available from: https://pjctvs.com/index.php/journal/article/view/234

Issue

Section

Images in Surgery

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