DOI: https://doi.org/10.36347/sasjs.2026.v12i03.001

Pages: 180-184

Introduction: Post-traumatic arteriovenous fistulas (AVF) are abnormal communications between an artery and an adjacent vein secondary to trauma. Their management requires early diagnosis and appropriate treatment to avoid local and systemic complications. Material and methods: We report a retrospective study of three cases of post-traumatic AVF treated in the vascular surgery department of the Mohammed V Military Teaching Hospital in Rabat between January 2024 and December 2024. Results: Three patients were included (two men and a 2-year-old girl). Etiologies were: accidental trauma (horse fall, n=1), iatrogenic (catheterization in an infant, n=1) and stab wound (n=1). Locations were femoral (n=2) and humeral (n=1). All patients presented with thrill and murmur on clinical examination. Diagnosis was confirmed by CT angiography in all cases. Conventional surgical treatment allowed complete exclusion of fistulas with restoration of arterial continuity (end-to-end anastomosis in 2 cases, direct suture in 1 case) and venous repair. Postoperative outcomes were uneventful with symptom resolution. Discussion: Our results are consistent with literature data regarding male predominance, preferential lower limb involvement and effectiveness of surgical treatment. The role of endovascular treatment is discussed. Conclusion: Early diagnosis of post-traumatic AVF relies on rigorous clinical examination. Conventional surgical treatment remains the gold standard with excellent results.