Aortoenteric Fistula

Ozcakir, Nedim; Sherman, Scott C.; Kern, Kevin

doi:10.1016/j.jemermed.2008.09.032

Cited by 7 publications

(6 citation statements)

References 5 publications

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“…The majority of the literature supports that an earlier chest contrast-enhanced CT might aid in the early diagnosis, which was also indicated in this case (10,11). CT scan is less invasive, more readily available, and less likely to cause thrombus dislodgement than other modalities (12). CT findings may include an irregular outpouching of the aorta, deletion of the plane between the stomach and duodenum, or gas surrounding the aneurysm (13).…”

Section: Discussionsupporting

confidence: 57%

Primary Aortogastric Fistula Caused by Ulcerated Gastric Carcinoma: A Rare Cause of Sudden Death

Zhu

et al. 2020

The Journal of Emergency Medicine

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Section: Discussionsupporting

confidence: 57%

Primary Aortogastric Fistula Caused by Ulcerated Gastric Carcinoma: A Rare Cause of Sudden Death

Zhu

et al. 2020

The Journal of Emergency Medicine

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“…Middle-aged and elderly men were most commonly affected. The aetiology varies greatly depending on the localisation, for example, aorto-enteric fistulas are often (up to 80% [ 213 ]) caused by AAAs. LBP is described as a frequently accompanying symptom of fistulas, ranging from 1.7% [ 214 ] to 93% [ 215 ] of affected patients.…”

Section: Resultsmentioning

confidence: 99%

Extravertebral low back pain: a scoping review

Kunow,

Freyer Martins Pereira,

Chenot

2024

BMC Musculoskelet Disord

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Background Low back pain (LBP) is one of the most common reasons for consultation in general practice. Currently, LBP is categorised into specific and non-specific causes. However, extravertebral causes, such as abdominal aortic aneurysm or pancreatitis, are not being considered. Methods A systematic literature search was performed across MEDLINE, Embase, and the Cochrane library, complemented by a handsearch. Studies conducted between 1 January 2001 and 31 December 2020, where LBP was the main symptom, were included. Results The literature search identified 6040 studies, from which duplicates were removed, leaving 4105 studies for title and abstract screening. Subsequently, 265 publications were selected for inclusion, with an additional 197 publications identified through the handsearch. The majority of the studies were case reports and case series, predominantly originating from specialised care settings. A clear distinction between vertebral or rare causes of LBP was not always possible. A range of diseases were identified as potential extravertebral causes of LBP, encompassing gynaecological, urological, vascular, systemic, and gastrointestinal diseases. Notably, guidelines exhibited inconsistencies in addressing extravertebral causes. Discussion Prior to this review, there has been no systematic investigation into extravertebral causes of LBP. Although these causes are rare, the absence of robust and reliable epidemiological data hinders a comprehensive understanding, as well as the lack of standardised protocols, which contributes to a lack of accurate description of indicative symptoms. While there are certain disease-specific characteristics, such as non-mechanical or cyclical LBP, and atypical accompanying symptoms like fever, abdominal pain, or leg swelling, that may suggest extravertebral causes, it is important to recognise that these features are not universally present in every patient. Conclusion The differential diagnosis of extravertebral LBP is extensive with relatively low prevalence rates dependent on the clinical setting. Clinicians should maintain a high index of suspicion for extravertebral aetiologies, especially in patients presenting with atypical accompanying symptoms.

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“…In Saers and Scheltinga's literature review, gastroduodenoscopy was pursued in 59 of 81 patients with detection of PAEF in only 25% [2]. CT with IV contrast is becoming the accepted initial diagnostic test for suspicion of PAEF as it can help establish a diagnosis preoperatively in over one-third of patients [4,5]. Positive CT findings typically includes bowel wall thickening, para-aortic or intra-aortic gas, and extravasation of contrast into the bowel lumen [3].…”

Section: Discussionmentioning

confidence: 99%

Ileal artery pseudoaneurysm: a rare cause of gastrointestinal bleed

Kassamali

Sharma

2019

Journal of Community Hospital Internal Medicine Perspectives

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Aorto-enteric fistulas are life-threatening conditions that occur commonly between the aorta and duodenum. Our case describes a fistula between the ileal artery and small bowel. To our knowledge, ileal artery fistulas are more commonly described in surgical cases, unlike our case. This case emphasizes early diagnosis of an aorto-enteric fistula causing life-threatening gastrointestinal bleeding to improve morbidity and survival.

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Aortoenteric Fistula

Cited by 7 publications

References 5 publications

Primary Aortogastric Fistula Caused by Ulcerated Gastric Carcinoma: A Rare Cause of Sudden Death

Primary Aortogastric Fistula Caused by Ulcerated Gastric Carcinoma: A Rare Cause of Sudden Death

Extravertebral low back pain: a scoping review

Ileal artery pseudoaneurysm: a rare cause of gastrointestinal bleed

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