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Primary aortoenteric fistula due to a swallowed twig in a three-year-old child

S K Kappadath1, M J Clarke, E Stormer

  • 1Northern Vascular Centre, Freeman Hospital, Freeman Road, High Heaton, Newcastle-upon-Tyne NE7 7DN, United Kingdom. skappadath@nhs.net

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|November 27, 2009
PubMed

Insights

A rare primary aortoenteric fistula occurred in a 3-year-old due to duodenal perforation from a twig. This is the first reported pediatric case, highlighting unique considerations for emergency aortic surgery in children.

Area of Science:

  • Vascular Surgery
  • Pediatric Surgery
  • Gastrointestinal Surgery

Background:

  • Aortoenteric fistulae are rare complications, typically linked to aortic aneurysm repair or atherosclerosis.
  • Primary aortoenteric fistulae (PAEF) are exceptionally uncommon, with limited reported cases, predominantly in adults with vascular disease.

Observation:

  • A case of primary aortoenteric fistula (PAEF) in a 3-year-old child is presented.
  • The fistula resulted from duodenal perforation caused by ingesting a twig.

Findings:

  • This is the first reported case of PAEF in a pediatric patient.
  • The case underscores the need for specific considerations during emergency aortic surgery in children.

Implications:

  • This report expands the understanding of rare AEF etiologies.
  • It emphasizes the importance of tailored approaches for pediatric emergency aortic interventions.

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