Introduction: Secondary arteriovenous (AV) fistulae following appendectomy are very rare. Report: We report the case of a 15-year-old girl suffering from progressive heart failure and subacute 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 veinwas gathered. Discussion: Open 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. © 2010 European Society for Vascular Surgery. Published by Elsevier Ltd.
Kuehnl, A., Zimmermann, A., Pongratz, J., & Eckstein, H. H. (2010). Young girl presenting with heart failure 5 years after laparoscopic appendectomy. Case report of an ilio-iliac AV fistula. European Journal of Vascular and Endovascular Surgery, 40(1), 107–109. https://doi.org/10.1016/j.ejvs.2010.02.013