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[Bleeding from aortointestinal fistula].

Z Voboril1

  • 1Chirurgická klinika Lékarské fakulty UK a Fakultní nemocnice Hradec Králové.

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|September 19, 2006
PubMed
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Aortointestinal fistula, a rare complication of aortic aneurysm surgery, can cause severe digestive bleeding. Prompt diagnosis via CT scan and surgical intervention are crucial for patient survival.

Area of Science:

  • Vascular Surgery
  • Gastroenterology

Background:

  • Aortointestinal fistula involves abnormal connections between the aorta and the gastrointestinal tract.
  • These fistulas are classified as primary (from aortic aneurysms) or secondary (post-aortic reconstruction).

Observation:

  • A case report details a 69-year-old male who developed an aortoileal fistula four years after aortic prosthesis implantation.
  • The patient presented with significant gastrointestinal bleeding, initially attributed to minor gastric lesions.

Findings:

  • Laparotomy revealed a fistula at the distal anastomosis of the aortic prosthesis.
  • Despite intensive care, the patient succumbed to hemorrhagic shock.

Implications:

  • Patients with abdominal aortic aneurysms or prostheses presenting with sepsis or GI bleeding require high suspicion for aortointestinal fistula.

Related Experiment Videos

  • Immediate spiral CT with contrast and surgical exploration are recommended for suspected cases.