Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Double Primary Aortoenteric Fistulae: A Case Report of Two Simultaneous Primary Aortoenteric Fistulae in One Patient

  • Lee, Chung Won (Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine) ;
  • Chung, Sung Woon (Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine) ;
  • Song, Seunghwan (Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine) ;
  • Bae, Mi Ju (Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine) ;
  • Huh, Up (Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine) ;
  • Kim, Jae Hun (Department of Surgery, Pusan National University School of Medicine)
  • Received : 2012.02.21
  • Accepted : 2012.06.04
  • Published : 2012.10.05
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Abstract

Aortoenteric fistula is a rare but potentially fatal condition causing massive gastrointestinal bleeding. In particular, double primary aortoenteric fistulae are vanishingly rare. We encountered a 75-year-old male patient suffering from abdominal pain, hematochezia, hematemesis, and hypotension. His computed tomography images showed abdominal aortic aneurysm and suspected aortoenteric fistulae. During surgery, we found two primary aortoenteric fistulae. The one fistula was detected between the abdominal aorta and the third portion of the duodenum, and the other fistula was detected between the abdominal aorta and the sigmoid colon. We conducted the closure of the fistulae, the exclusion of the aneurysm, and axillo-bifemoral bypass with a polytetrafluoroethylene graft. The patient was discharged with no complications on the 21st postoperative day.

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References

  1. Tareen AH, Schroeder TV. Primary aortoenteric fistula: two new case reports and a review of 44 previously reported cases. Eur J Vasc Endovasc Surg 1996;12:5-10. https://doi.org/10.1016/S1078-5884(96)80268-1
  2. Sweeney MS, Gadacz TR. Primary aortoduodenal fistula: manifestation, diagnosis, and treatment. Surgery 1984;96: 492-497.
  3. Varekamp AP, Spruijt IL. Double primary aortoenteric fistula. Eur J Vasc Endovasc Surg 1998;15:270-271. https://doi.org/10.1016/S1078-5884(98)80190-1
  4. Bergqvist D. Arterioenteric fistula. Review of a vascular emergency. Acta Chir Scand 1987;153:81-86.
  5. Saers SJ, Scheltinga MR. Primary aortoenteric fistula. Br J Surg 2005;92:143-152. https://doi.org/10.1002/bjs.4928
  6. Korkut AK, Arpinar E, Yasar T, Guney D. Primary aortoduodenal fistula complicated by abdominal aortic aneurysm. J Cardiovasc Surg (Torino) 2000;41:113-115.
  7. van Olffen TB, Knippenberg LH, van der Vliet JA, Lastdrager WB. Primary aortoenteric fistula: report of six new cases. Cardiovasc Surg 2002;10:551-554. https://doi.org/10.1016/S0967-2109(02)00104-7
  8. Lonn L, Dias N, Veith Schroeder T, Resch T. Is EVAR the treatment of choice for aortoenteric fistula? J Cardiovasc Surg (Torino) 2010;51:319-327.

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  1. Primary Aorto-duodenal Fistula: A Rare but Potentially Fatal Cause of Gastrointestinal Bleeding vol.93, pp.2, 2012, https://doi.org/10.1016/j.cireng.2014.12.008
  2. Unusual clinical presentation of primary aortoduodenal fistula vol.3, pp.2, 2012, https://doi.org/10.1093/gastro/gou040
  3. Primary Aortoenteric Fistula of a Saccular Aneurysm: Case Study and Literature Review vol.45, pp.4, 2015, https://doi.org/10.4070/kcj.2015.45.4.337