GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info radiopaedia.org/chat

Popliteal traumatic A-V fistula

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Stab wound to the back of the right lower thigh.

Patient Data

Age: 20 years
Gender: Male

CTA of the lower limbs

ct

There's an arterio-venous (AV) fistula between the right popliteal artery and vein, with an associated with aneurysmal dilatation of the popliteal vein and multiple superficial venous varicosities of the leg. Early opacification of the right femoral, right iliac veins, and IVC is also noted.

Annotated image

The photo shows the arteriovenous fistula yellow arrow) between the popliteal artery (red arrow) ad the popliteal vein (blue arrow) with subsequent aneurismal dilatation of the popliteal vein (green arrow)

Case Discussion

The case presents an abnormal arterio-venous fistula between the popliteal artery and vein, with subsequent venous hypertension in the form of aneurysmal dilatation of the popliteal vein and multiple superficial venous varicosities. Also early opacification of the femoral veins, iliac veins, and IVC is noted, they all appear dilated.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.