Primary Aortoduodenal Fistula—A Case Report and a Review of the Literature

Varghese, Mercy; Jørgensen, Geir; Aune, Camilla; Bergan, Ragnhild; Norderval, Stig; Moland, Jarl

doi:10.1016/j.avsg.2015.12.013

Cited by 11 publications

(14 citation statements)

References 6 publications

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“…na fístula aortoentérica (FAE) es la comunicación espontánea entre el lumen de la aorta y una porción del tubo digestivo 1,2 . Pese a haber sido descrita por Cooper hace casi 200 años, continúa siendo difícil de diagnosticar y de tratar, con alta morbimortalidad asociada 3,4,5 .…”

unclassified

“…Su frecuencia es extremadamente baja, siendo 0,04-0,07% de las autopsias 1,4,6 . Se han reportado menos de 400 casos, siendo la mayoría reportes de casos únicos 1,3,4,[6][7][8] y escasas revisiones de casos acumulados 2,5,9 . Las FAE se clasifican en primaria, cuando existe una comunicación espontánea entre la aorta nativa, generalmente un aneurisma aórtico abdominal (AAA) y un segmento del tubo digestivo, y FAE secundaria, cuando existe cirugía aórtica previa, siendo 10 veces más frecuente que la FAE primaria 4,6 .…”

unclassified

“…El diagnóstico de FAE primaria es un desafío clínico mayor por la ausencia del antecedente de cirugía aórtica previa. Sin un diagnóstico y reparación quirúrgica oportunos, la mortalidad es 100% 1,3,4,6,8 . El diagnóstico descansa en un alto índice de sospecha ante hemorragia digestiva y presencia de un AAA 3,7 .…”

unclassified

“…Sin un diagnóstico y reparación quirúrgica oportunos, la mortalidad es 100% 1,3,4,6,8 . El diagnóstico descansa en un alto índice de sospecha ante hemorragia digestiva y presencia de un AAA 3,7 . La hemorragia digestiva es su síntoma cardinal, aunque corresponde solo a 0,2% de todas las causas de hemorragia digestiva 1 .…”

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Aneurisma de aorta abdominal roto al duodeno: causa infrecuente de hemorragia digestiva masiva

et al. 2021

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Rupture of abdominal aortic aneurysm into the duodenum: uncommon cause of massive gastrointestinal bleedingPrimary aortoenteric fistula is the spontaneous communication between the lumen of the aorta and a portion of the digestive tract. The most common cause is the erosion of an abdominal aortic aneurysm into the 3 rd or 4 th portion of the duodenum. It manifests clinically as gastrointestinal bleeding, with or without abdominal pain and a pulsatile abdominal mass on physical exam. Gastrointestinal bleeding is initially recurrent and self-limiting and progresses to fatal exsanguinating hemorrhage. Endoscopic examination diagnoses only 25% of aortoenteric fistulas because these are usually located in the distal duodenum. Contrast computed tomography of the abdomen and pelvis is diagnostic in only 60% of cases. We report three cases with this condition. A 67-year-old male presenting with an upper gastrointestinal bleeding. He was operated and a communication between an aortic aneurysm and the duodenum was found and surgically repaired. The patient is well. A 67-year-old male with an abdominal aortic aneurysm presenting with abdominal pain. He was operated and anticoagulated. In the postoperative period he had a massive gastrointestinal bleeding and a new CAT scan revealed an aorto enteric fistula that was surgically repaired. The patient is well. An 82-year-old male with an abdominal aortic aneurysm presenting with hematochezia. A CAT scan revealed a communication between the aneurysm and the third portion of the duodenum, that was surgically repaired. The patient died in the eighth postoperative day.

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Aneurisma de aorta abdominal roto al duodeno: causa infrecuente de hemorragia digestiva masiva

et al. 2021

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“…Кроме этого, аневризма брюшного отдела аорты может пенетрировать в желудок, тощую, подвздошную или сигмовидную кишку. Другие симптомы встречаются реже, это боль в животе, пальпируемое пульсирующее образование передней брюшной стенки, боль в спине, мелена, лихорадка или обморок [2][3][4][5][6].…”

unclassified

Gastrointestinal bleeding caused by false symptomatic infrarenal abdominal aortic aneurysm

Kulikovsky

Shevtsov

Karpachev

et al. 2017

Khir. Z. im. N.I. Pirogova

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Белгородский государственный национальный исследовательский университет, ОГБУЗ «Белгородская областная клиническая больница святителя Иоасафа» Ключевые слова: желудочно-кишечное кровотечение, ложная аневризма, брюшная аорта.

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Evaluation of abdominal aortic aneurysm in patients with nonvariceal upper gastrointestinal hemorrhage

Jolobe¹

2019

The American Journal of Emergency Medicine

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Primary Aortoduodenal Fistula—A Case Report and a Review of the Literature

Cited by 11 publications

References 6 publications

Aneurisma de aorta abdominal roto al duodeno: causa infrecuente de hemorragia digestiva masiva

Aneurisma de aorta abdominal roto al duodeno: causa infrecuente de hemorragia digestiva masiva

Gastrointestinal bleeding caused by false symptomatic infrarenal abdominal aortic aneurysm

Evaluation of abdominal aortic aneurysm in patients with nonvariceal upper gastrointestinal hemorrhage

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