Journal of the Chinese Medical Association
Volume 72, Issue 10 , Pages 551-554, October 2009

Aorto-left Renal Cyst Fistula: A Rare Complication of Abdominal Aortic Aneurysm Rupture

  • Yu-Hui Chiu

      Affiliations

    • Department of Emergency Medicine, Taipei Medical University–Wan Fang Hospital, Taipei, Taiwan, R.O.C.
    • Department of Emergency Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • ,
  • Jen-Dar Chen

      Affiliations

    • Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • Corresponding Author InformationCorrespondence to: Dr Jen-Dar Chen, Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C.
    • ,
  • Tze-Fan Chao

      Affiliations

    • Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • ,
  • Chorng-Kuang How

      Affiliations

    • Department of Emergency Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • ,
  • Carlos Lam

      Affiliations

    • Department of Emergency Medicine, Taipei Medical University–Wan Fang Hospital, Taipei, Taiwan, R.O.C.
    • ,
  • David Hung-Tsang Yen

      Affiliations

    • Department of Emergency Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • ,
  • Chun-I Huang

      Affiliations

    • Department of Emergency Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.

Received 11 February 2009; accepted 14 July 2009.

Article Outline

Abdominal aortic aneurysm (AAA) rupture can occur in different ways, such as closed rupture into the retroperitoneum, open rupture into the peritoneal cavity, rupture into surrounding hollow structures, and chronic contained or sealed rupture. Here, we report an unusual case of spontaneous rupture of AAA into a renal cyst that presented with hematuria, abdominal pain and shock, and which was diagnosed with multidetector computed tomography. We also review the literature on unusual patterns of AAA rupture. [J Chin Med Assoc 2009;72(10):551–554]

Key Words:  abdominal aortic aneurysm , aortoenteric fistula , aortovenous fistula , chronic contained or sealed rupture , renal cyst

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References 

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PII: S1726-4901(09)70427-7

doi:10.1016/S1726-4901(09)70427-7

Journal of the Chinese Medical Association
Volume 72, Issue 10 , Pages 551-554, October 2009

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