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[Primary aorto-enteric fistula]
A Perrone1, P Campanella, S De Luca
1Divisione di Chirurgia d'Urgenza e Pronto Soccorso, Azienda Ospedaliera Vito Fazzi, Piazza Muratore, 73100 Lecce.
Insights
Primary aorto-enteric fistula, a rare connection between the aorta and digestive tract, is uncommon in patients without prior surgery. Early diagnosis and treatment of this condition are crucial for reducing mortality.
Area of Science:
- Vascular Surgery
- Gastroenterology
Background:
- Aorto-enteric fistula (AEF) is a rare but serious condition, typically occurring secondary to aortic aneurysm repair.
- Primary AEF, without prior surgical intervention, is exceptionally uncommon.
Observation:
- The authors present a case of primary aorto-enteric fistula diagnosed and treated early.
- The patient experienced a favorable outcome following prompt intervention.
Findings:
- Early diagnosis and appropriate therapeutic strategies are critical for managing AEF.
- Literature review and case analysis underscore the importance of timely intervention.
Implications:
- This case highlights the possibility of primary AEF and the success of early management.
- Improved diagnostic and therapeutic approaches can significantly decrease AEF-related mortality.
Abstract:
Aorto-enteric fistula, i.e. communication between the aorta and the digestive tract, is a clinical condition that usually appears in patients who have already been submitted to aneurismectomy. Primary fistula, in patients not submitted to surgical treatment, is uncommon. The authors describe a case of primary aorto-enteric fistula which was diagnosed and operated on early, with a favourable outcome. The critical analysis of the authors' experience and the literature data stress that an early diagnosis and suitable therapy can reduce mortality.