Primary aortoenteric fistula

被引：3

作者：

Vilas-Boas F. ^{[1
]}

Azevedo F. ^{[1
]}

Marques M. ^{[1
]}

Baldaque-Silva F. ^{[1
]}

Cardoso H. ^{[1
]}

Costa-Lima J. ^{[2
]}

Macedo G. ^{[1
]}

机构：

[1] Department of Gastroenterology, Faculty of Medicine, Centro Hospitalar de S. João, 4200-319 Porto, Alameda Prof. Hernani Monteiro

[2] Department of Vascular Surgery, Faculty of Medicine, Centro Hospitalar de S. João, 4200-319 Porto, Alameda Prof. Hernani Monteiro

来源：

Clinical Journal of Gastroenterology | 2013年 / 6卷 / 4期

关键词：

Aortoenteric fistula; Gastrointestinal bleeding; Herald bleed;

D O I：

10.1007/s12328-013-0401-2

中图分类号：

学科分类号：

摘要：

Primary aortoenteric fistula is a rare complication of aortic aneurysms. This cause of gastrointestinal bleeding poses significant diagnostic challenges due to its nonspecific presentation. We report a case of an 80-year-old man with right flank pain and rectal bleeding. The patient had been admitted 2 weeks before with the same symptoms. Upper and lower endoscopies were unremarkable, but abdominal computed tomography scan showed evidence of aortoduodenal fistula. An emergency laparotomy with aortic bypass and fistula closure was performed and the patient was able to recover in the following weeks. This case highlights the need for a high index of suspicion to avoid diagnostic delay that frequently has fatal results. © 2013 Springer Japan.

引用

页码：299 / 302

页数：3

共 8 条

[1] Ranasinghe W., Loa J., Allaf N., Lewis K., Sebastian M.G., Primary aortoenteric fistulae: The challenges in diagnosis and review of treatment, Ann Vasc Surg, 25, 3, (2011)
[2] Saers S.J., Scheltinga M.R., Primary aortoenteric fistula, Br J Surg, 92, 2, pp. 143-152, (2005)
[3] Song Y., Liu Q., Shen H., Jia X., Zhang H., Qiao L., Diagnosis and management of primary aortoenteric fistulas - Experience learned from eighteen patients, Surgery, 143, 1, pp. 43-50, (2008)
[4] Ernst C.B., Stanley J.C., Current therapy in vascular surgery, Management of Primary Aortoenteric Fistula, pp. 277-279, (2001)
[5] Kieffer E., Chiche L., Gomes D., Aortoesophageal fistula: Value of in situ aortic allograft replacement, Ann Surg, 238, 2, pp. 283-290, (2003)
[6] Ramanujam S., Shiels A., Zuckerman G., Prakash C., Unusual presentations of aorto-enteric fistula, Gastrointest Endosc, 59, 2, pp. 300-304, (2004)
[7] Ozcakir N., Sherman S.C., Kern K., Aortoenteric fistula, J Emerg Med, 40, 3, (2011)
[8] Lemos D.W., Raffetto J.D., Moore T.C., Menzoian J.O., Primary aortoduodenal fistula: A case report and review of the literature, J Vasc Surg, 37, 3, pp. 686-689, (2003)

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