Aortogastric fistula secondary to pancreatitis

Primary aortogastric fistula following Nissen fundoplication: A case report

“…In many cases, the initial hemorrhage will cease spontaneously, potentially allowing sufficient time for diagnosis and surgical intervention. This “herald bleed” has been attributed to a spasm of the intestinal musculature that closes the fistula temporarily [ 1 , 2 , 4 , 9 ]. The interval between initial hemorrhage and death from exsanguination was found to vary from several hours to 8 months [ 11 ].…”

“…The early survival advantage in the endovascular group relative to the open surgical group was lost by the second year of follow up [ 27 ]. Endovascular repair leaves a gastric defect untreated [ 7 , 9 ], which exposes the graft to a contaminated environment leading to an increased risk of endograft infection and sepsis as well as recurrent bleeding. Additional radical aortic surgery should be performed once the patient is stable for increased long-term survival [ 7 ].…”

“…Most AEFs are secondary to procedures involving the aorta, i.e. as a complication of aortic repair (surgical or endovascular) [ [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] ]. Primary AEF is much less common and refers to a communication between the native aorta and the GI tract [ 1 ].…”

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

“…Primary AGF is a rare but life-threatening clinical entity, due mostly to foreign bodies, penetration by advanced esophageal carcinoma, esophageal hiatal hernia, pancreatitis, and peptic ulcer etiologies. Secondary AGF represents a fatal complication after an esophagectomy and intrathoracic esophagogastric anastomosis (3)(4)(5)(6)(7). Here, we describe a patient presenting with fatal hematemesis due to a primary AGF caused by ulcerated intrathoracic gastric carcinoma occurring 23 years after esophagectomy for esophageal carcinoma.…”