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[Intestinal complications from vascular prostheses]

C Fernández1, J Calvete, J García

  • 1Servicio de Cirugía, Hospital de Sagunto, Puerto de Sagunto, Valencia,España.

Angiologia
|November 1, 1993
PubMed

Insights

Secondary fistulizing anastomotic dehiscence (FAE) is a rare complication. This report highlights two unusual FAE cases, emphasizing clinical suspicion and prompt surgical intervention to reduce mortality.

Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Digestive Diseases

Background:

  • Secondary fistulizing anastomotic dehiscence (FAE) is an uncommon complication, typically affecting the duodenum.
  • Common presentations include digestive hemorrhage or sepsis.
  • This study explores atypical FAE manifestations.

Observation:

  • Case 1: Lower digestive hemorrhage due to fistulization to the sigmoid colon.
  • Case 2: Intestinal obstruction caused by prosthesis migration into the jejunum.

Findings:

  • FAE can present with varied and atypical clinical signs beyond typical duodenal involvement.
  • Clinical suspicion is paramount for diagnosis.
  • Diagnostic imaging may have limited utility.

Implications:

  • Early clinical suspicion of FAE is crucial for timely diagnosis and management.
  • Prompt surgical intervention is essential to mitigate high morbidity and mortality rates associated with FAE.
  • This case series underscores the importance of considering FAE in patients with unusual gastrointestinal symptoms post-surgery.

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