DOI: https://doi.org/10.36347/sasjs.2025.v11i02.015

Pages: 187-189

Post-traumatic arteriovenous fistulas (AVFs) are rare vascular complications, often presenting with delayed and nonspecific symptoms, making their diagnosis challenging. This case report describes a 25-year-old male who developed an ilio-iliac AVF six years after a penetrating stab wound. The patient presented progressive dyspnea and right heart failure, leading to an incidental diagnosis of the fistula through advanced imaging. Endovascular repair with a covered stent was successfully performed, resulting in symptom resolution. This case highlights the importance of maintaining a high index of suspicion for AVFs in patients with prior trauma, as well as the evolving role of endovascular techniques in their management. Multidisciplinary collaboration is crucial in optimizing outcomes, particularly in complex vascular injuries.