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Arterio-enteric fistulas.

R L Baird, G W Slagle, H W Boggs

    Diseases of the Colon and Rectum
    |April 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Arterioenteric fistulas can cause rectal bleeding, often initially stopping but requiring prompt evaluation due to potentially fatal rebleeding. Complete removal of infected grafts is key for successful surgical management of these rare but serious conditions.

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    Area of Science:

    • Gastroenterology
    • Vascular Surgery
    • Colorectal Surgery

    Background:

    • Arterioenteric fistulas are rare but life-threatening complications.
    • Rectal bleeding is a primary presenting symptom, often with initial cessation.

    Observation:

    • Colorectal surgeons encounter these fistulas in patients with rectal bleeding.
    • Initial bleeding may subside, creating a false sense of security.
    • Prompt diagnostic evaluation is critical due to the risk of fatal hemorrhage.

    Findings:

    • Exploratory laparotomy is often required for accurate diagnosis.
    • Surgical management demands a case-by-case approach.
    • Complete excision of infected grafts appears to yield the best outcomes.

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    Implications:

    • Early recognition and intervention are crucial for patient survival.
    • Aggressive surgical management, including graft removal, is necessary.
    • Understanding this condition improves surgical preparedness for rare emergencies.