Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Primary aortojejunal fistula: a case report

P W Brown¹, D M Sailors, J R Headrick

¹Department of Surgery, University of Tennessee College of Medicine, Chattanooga 37403, USA.

The American Surgeon

|February 2, 1999

Summary

Primary aortoenteric fistulae (AEFs) are rare vascular conditions with high mortality. Early diagnosis and surgical intervention are critical for patient survival.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

The Effects of Magnesium on Hydroxyapatite Formation In Vitro from CaHPO<sub>4</sub> and Ca<sub>4</sub>(PO<sub>4</sub>)<sub>2</sub>O at 37.4°C.

Calcified tissue international·2016

Same author

Dear editor: re: lower extremity reconstruction using myocutaneous flaps by I.p. Janecka in orthopedics, november 1980/editors note.

Orthopedics·2014

Same author

Incineration of hazardous wastes.

Environmental monitoring and assessment·2013

Same author

Blood dyscrasia with and without associated atypical lichen planus; report of four cases.

Minnesota medicine·2010

Same author

The irritable bowel syndrome.

The Journal of the Kansas Medical Society·2010

Same author

Bacillary dysentery.

Gastroenterology·2010

Area of Science:

Vascular Surgery
Gastroenterology
Abdominal Imaging

Background:

Primary aortoenteric fistulae (AEFs) are exceedingly rare vascular anomalies.
Reported cases are fewer than 250 globally as of 1996, with incidence under 1%.

Observation:

Atherosclerosis is the predominant etiology (over two-thirds of cases).
Other causes include malignancy, peptic ulcers, gallstones, diverticulitis, appendicitis, and foreign bodies.
Key diagnostic indicators include a "herald bleed," flank/abdominal pain, hematemesis, melena, and abdominal mass.

Findings:

Over 80% of primary AEFs involve the duodenum, typically in the third or fourth portions.
Mortality rates for AEFs range significantly from 33% to 85%.

Implications:

High index of suspicion is crucial for timely diagnosis of AEF.
Prompt surgical intervention is essential for improving survival outcomes in AEF patients.

Related Experiment Videos