Background: Arteriovenous fistula is a rare complication of aortoiliac aneu
rysmal disease, accounting for less than 2% of clinical presentations.
Methods: In addition to the 191 cases reviewed in the literature, an additi
onal 14 cases seen at Royal Melbourne Hospital over the last 22 years are p
resented to illustrate the challenges in the diagnosis of this condition.
Conclusion: An increase in awareness may lead to better management of these
patients.