We report the case of a 49-year-old woman with an aorto-caval fistula follo
wing lumbar diskectomy. Initial symptoms included isolated hepatalgia, and
were later associated with jaundice and hepatomegaly, suggesting acute live
r failure due to right heart failure. Only 9 previous cases of postoperativ
e aorto-caval fistula have been reported and our case emphasizes the possib
ility of a pseudo-digestive presentation of high output arteriovenous fistu
la.