“…An ilio-iliac arteriovenous fistula presenting with decompensated heart failure, ascites and deranged liver and kidney function is rare. 1 , 2 This case was more unusual as the patient had a previous history of heart failure attributed to alcohol-related dilated cardiomyopathy that recovered completely after a period of alcohol abstinence. Causes and presenting features of an arteriovenous fistula are quite varying and depend on their location, size, duration, calibre of vessels and the cardiopulmonary reserve of the patient.…”