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08:21
Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
Published on: August 15, 2025
734
Primary Aortoenteric Fistula after Nissen Fundoplication
Catherine Bixby1, Pathanjali Sharma2, Faisal Aziz2
1School of Medicine, UNECOM.
Cureus
|June 1, 2018
Summary
A rare gastro-aortic fistula, a connection between the stomach and aorta, is presented. This fatal condition is crucial to consider in patients with prior Nissen fundoplication surgery.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Surgical Complications
Background:
- Gastro-aortic fistulas are rare but life-threatening conditions.
- Chronic gastric ulcers are a known risk factor for gastrointestinal complications.
- Nissen fundoplication is a surgical procedure for gastroesophageal reflux disease.
Observation:
- A patient with a chronic gastric ulcer and prior Nissen fundoplication developed a primary gastro-aortic fistula.
- The fistula involved the native aorta and proximal stomach.
Findings:
- This case underscores the importance of considering gastro-aortic fistula in the differential diagnosis.
- The rarity and high fatality rate of this condition necessitate prompt recognition.
Implications:
- Physicians should maintain a high index of suspicion for gastro-aortic fistula in patients with relevant surgical history and symptoms.
- Early diagnosis and management are critical for improving patient outcomes in this rare surgical complication.
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