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Updated: May 12, 2026
06:12
Technical Aspects of the Mouse Aortocaval Fistula
Published on: July 11, 2013
[Secondary aortoenteric fistula, multidisciplinary surgical management]
Diogo Cunha E Sá1, J Rebelo De Andrade, Paulo Roquete
1Departamentos de Cirurgia Vascular, Cirurgia Geral e de Anestesiologia do Hospital da Luz, Lisboa, Portugal.
Summary
A rare complication following abdominal aortic aneurysm surgery, secondary aortoenteric fistula, was successfully treated. This case highlights critical management strategies for this high-morbidity condition.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Diagnostic Imaging
Background:
- Secondary aortoenteric fistula is a rare but serious complication after abdominal aortic aneurysm repair.
- It presents with high morbidity and mortality, posing significant challenges in vascular surgery.
- Early diagnosis and prompt surgical intervention are crucial for patient outcomes.
Observation:
- A 77-year-old male presented with abdominal pain and melena 11 years post-abdominal aortic aneurysm surgery.
- Clinical, laboratory, CT-scan, and endoscopic findings confirmed the diagnosis of secondary aortoenteric fistula.
- The patient's presentation mimicked other gastrointestinal emergencies, complicating initial diagnosis.
Findings:
- The diagnosis was confirmed as a secondary aortoenteric fistula, a rare clinical entity.
- Successful surgical treatment was performed, addressing the fistula and its complications.
- The case underscores the importance of considering aortoenteric fistula in patients with a history of aortic repair presenting with relevant symptoms.
Implications:
- This case provides valuable insights into the management of secondary aortoenteric fistula.
- It emphasizes the need for a multidisciplinary approach involving vascular surgeons and gastroenterologists.
- The successful outcome highlights the potential for effective surgical solutions even in complex cases of aortoenteric fistula.
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