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[A double aorto-enteric fistula secondary to an aortic pseudoaneurysm. Its anatomical correction]
J L de Frutos Rincón1, J Canales Reina, B Gianpaolo
1Unidad de Angiología y Cirugía Vascular, Servicio de Cirugía General, Hospital Arnau de Vilanova, Lérida, España.
Abstract:
A very rare case of double fistula aorto-enteric jejunal and ileal, draining to an aortic pseudoaneurysm, is presented. There were not evidence of sepsis, and by this reason pseudoaneurysm and prosthesis were removed, a new prosthesis was inserted by reconstruction "in situ", and intestinal fistulas were closed. The short- and large-term postoperatory was satisfactory. A review about possible mechanisms implicated in a fistula, diagnosis and therapeutic alternatives was made.