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[Aorto-enteric fistula]

F Bröhl1, L Braun

  • 1Chirurgische Klinik, Universität Münster.

VASA. Zeitschrift Fur Gefasskrankheiten
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

Aortoenteric fistulas are rare but serious. Primary fistulas were successfully treated, but secondary fistulas following aortoiliac reconstruction had a fatal outcome in this patient series.

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Area of Science:

  • Vascular Surgery
  • Gastroenterology

Background:

  • Aortoenteric fistula is a rare and life-threatening complication.
  • It can be primary or secondary to aortic reconstructions.

Observation:

  • Six patients with aortoenteric fistula treated between 1974 and 1991 were reviewed.
  • One patient had a primary aorto-jejunal fistula and underwent successful surgery.
  • Five patients had secondary fistulas resulting from aortoiliac reconstructions.

Findings:

  • Primary aortoenteric fistulas demonstrated a treatable condition with surgical intervention.
  • Secondary aortoenteric fistulas following aortoiliac reconstruction had a 100% mortality rate in this cohort.
  • Diagnostic challenges and therapeutic outcomes were analyzed.

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Implications:

  • Early diagnosis and prompt surgical intervention are crucial for primary aortoenteric fistulas.
  • Secondary aortoenteric fistulas pose a significant challenge, necessitating improved prevention and management strategies.
  • This study highlights the critical differences in outcomes based on fistula etiology.