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Year : 2011  |  Volume : 45  |  Issue : 6  |  Page : 563-564

Arterio-venous fistula following a lumbar disc surgery

Medi-Clinic Unit of Peripheral Vascular Disease, Department of General Surgery, Steve Biko Academic Hospital, University of Pretoria, Pretoria, South Africa

Correspondence Address:
Thanyani V Mulaudzi
Department of General Surgery, Vascular Surgery Unit, University of Pretoria, PO Box 667, Pretoria
South Africa
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5413.86418

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Vascular complications during posterior lumbar disc surgery are rare and its presentation with varicose veins is even rarer. A 23 year-old male patient presented with large varicose veins in right lower limb. He underwent a posterior lumbar spine discectomy surgery. He noticed mild swelling of the distal third right lower limb 3 months after index surgery and reported 6 months later when he developed varicose veins. Duplex Doppler confirmed varicose veins of the long saphenous vein and its tributaries with a patent deep venous system. A digital subtraction angiogram demonstrated a large right common iliac artery (CIA) false aneurysm with an arteriovenous fistula between right common iliac vessels. He had a right CIA covered stent insertion with good results. Varicose veins were later managed with sapheno-femoral junction ligation and a below knee long saphenous vein stripping. At six month follow-up the lower limb swelling had completely recovered and duplex ultrasound did not show any recurrence of varicose veins.

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