Deep venous thrombosis (DVT) and associated complications cause significant morbidity and mortality in orthopedic surgery. Typical DVT symptoms, such as swelling, pain and discoloration in the affected extremities are often unreliable for diagnosis. Here we report a rare case of iatrogenic ilio-iliac arteriovenous fistula (AVF) due to lumbar discectomy, which was initially misdiagnosed as DVT, resulting in unnecessary implantation of a permanent inferior vena cava filter. Endovascular treatment is an attractive treatment option for such an AVF. We recommend a thorough physical and ultrasonography for patients presenting with DVT-like symptoms, especially following lumbar spinal surgery, to prevent overlooking underlying AVF.
Article info
Publication history
Published online: April 23, 2012
Identification
Copyright
© 2012 Published by Elsevier Inc.
User license
Elsevier user license | How you can reuse 
Elsevier's open access license policy
Elsevier user license
Permitted
For non-commercial purposes:
- Read, print & download
- Text & data mine
- Translate the article
Not Permitted
- Reuse portions or extracts from the article in other works
- Redistribute or republish the final article
- Sell or re-use for commercial purposes
Elsevier's open access license policy
ScienceDirect
Access this article on ScienceDirectLinked Article
- A Case of Iatrogenic Ilio-iliac Arteriovenous Fistula Initially Mistaken for Deep Venous ThrombosisEJVES ExtraVol. 23Issue 6
- PreviewDeep venous thrombosis (DVT) and associated complications cause significant morbidity and mortality in orthopedic surgery. Typical DVT symptoms, such as swelling, pain and discoloration in the affected extremities are often unreliable for diagnosis. Here we report a rare case of iatrogenic ilio-iliac arteriovenous fistula (AVF) due to lumbar discectomy, which was initially misdiagnosed as DVT, resulting in unnecessary implantation of a permanent inferior vena cava filter. Endovascular treatment is an attractive treatment option for such an AVF.
- Full-Text
- Preview
Related Articles
Comments
Commenting Guidelines
To submit a comment for a journal article, please use the space above and note the following:
- We will review submitted comments as soon as possible, striving for within two business days.
- This forum is intended for constructive dialogue. Comments that are commercial or promotional in nature, pertain to specific medical cases, are not relevant to the article for which they have been submitted, or are otherwise inappropriate will not be posted.
- We require that commenters identify themselves with names and affiliations.
- Comments must be in compliance with our Terms & Conditions.
- Comments are not peer-reviewed.
