Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Primary Aortoenteric Fistula of a Saccular Aneurysm: Case Study and Literature Review

  • Varetto, Gianfranco (Division of Vascular Surgery, Department of Surgical Sciences, AOU Citta della Salute e della Scienza) ;
  • Gibello, Lorenzo (Division of Vascular Surgery, Department of Surgical Sciences, AOU Citta della Salute e della Scienza) ;
  • Trevisan, Alessandra (Division of Vascular Surgery, Department of Surgical Sciences, AOU Citta della Salute e della Scienza) ;
  • Castagno, Claudio (Division of Vascular Surgery, Department of Surgical Sciences, AOU Citta della Salute e della Scienza) ;
  • Garneri, Paolo (Division of Vascular Surgery, Department of Surgical Sciences, AOU Citta della Salute e della Scienza) ;
  • Rispoli, Pietro (Division of Vascular Surgery, Department of Surgical Sciences, AOU Citta della Salute e della Scienza)
  • Received : 2014.03.16
  • Accepted : 2014.06.25
  • Published : 2015.07.30
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Abstract

Primary aortoenteric fistula is a direct communication between the aorta and intestinal lumen and it represents a rare but potentially lethal complication of an abdominal aortic aneurysm. However, it may occur less frequently in a naive non-aneurysmatic aorta. Diagnosis is often difficult and delayed in most cases, unless there is a high level of clinical awareness. Urgent surgery is still the recommended treatment. We describe the case of primary aortoenteric fistula of a saccular aneurysm. A 55-year-old woman was referred to our center with hematemesis, melena, and severe anemia who was dignosed previously with unknown saccular abdominal aneurysm.

Keywords

References

  1. Lemos DW, Raffetto JD, Moore TC, Menzoian JO. Primary aortoduodenal fistula: a case report and review of the literature. J Vasc Surg 2003;37:686-9. https://doi.org/10.1067/mva.2003.101
  2. Chenu C, Marcheix B, Barcelo C, Rousseau H. Aorto-enteric fistula after endovascular abdominal aortic aneurysm repair: case report and review. Eur J Vasc Endovasc Surg 2009;37:401-6. https://doi.org/10.1016/j.ejvs.2008.11.037
  3. Philippakis GE, Moustardas M. Surgical treatment of primary aortojejunal fistula. Int J Surg Case Rep 2013;4:477-9. https://doi.org/10.1016/j.ijscr.2013.01.024
  4. Genoves-Gasco B, Torres-Blanco A, Plaza-Martínez A, Olmos-Sanchez D, Gomez-Palones F, Ortiz-Monzon E. Primary aortoduodenal fistula in a patient with pararenal abdominal aortic aneurysm. Ann Vasc Surg 2012;26:730.e1-5.
  5. Saers SJ, Scheltinga MR. Primary aortoenteric fistula. Br J Surg 2005;92:143-52. https://doi.org/10.1002/bjs.4928
  6. Ranasinghe W, Loa J, Allaf N, Lewis K, Sebastian MG. Primary aortoenteric fistulae: the challenges in diagnosis and review of treatment. Ann Vasc Surg 2011;25:386.e1-5.
  7. Senadhi V, Brown JC, Arora D, Shaffer R, Shetty D, Mackrell P. A mysterious cause of gastrointestinal bleeding disguising itself as diverticu- losis and peptic ulcer disease: a review of diagnostic modalities for aortoenteric fistula. Case Rep Gastroenterol 2010;4:510-17. https://doi.org/10.1159/000322662
  8. Song Y, Liu Q, Shen H, Jia X, Zhang H, Qiao L. Diagnosis and management of primary aortoenteric fistulas--experience learned from eighteen patients. Surgery 2008;143:43-50. https://doi.org/10.1016/j.surg.2007.06.036
  9. Shulik O, Marling K, Butler J. Primary aorto-enteric fistula - a unique complication of poorly differentiated large B-cell lymphoma. Am J Case Rep 2013;14:194-7. https://doi.org/10.12659/AJCR.889277
  10. Kim JS, Han JH, Kang MH, et al. [A case of primary aortoenteric fistula mimicking ulcer bleeding]. Korean J Gastroenterol 2013;61:343-6. https://doi.org/10.4166/kjg.2013.61.6.343
  11. Lee CW, Chung SW, Song S, Bae MJ, Huh U, Kim JH. Double primary aortoenteric fistulae: a case report of two simultaneous primary aortoenteric fistulae in one patient. Korean J Thorac Cardiovasc Surg 2012;45:330-3. https://doi.org/10.5090/kjtcs.2012.45.5.330
  12. Ramanujam S, Shiels A, Zuckerman G, Prakash C. Unusual presentations of aorto-enteric fistula. Gastrointest Endosc 2004;59:300-4. https://doi.org/10.1016/S0016-5107(03)02357-5
  13. Lawlor DK, DeRose G, Harris KA, Forbes TL. Primary aorto/iliac-enteric fistula-report of 6 new cases. Vasc Endovascular Surg 2004;38:281-6. https://doi.org/10.1177/153857440403800315
  14. Bala M, Sosna J, Appelbaum L, Israeli E, Rivkind Al. Enigma of primary aortoduodenal fistula. World J Gastroenterol 2009;15:3191-3. https://doi.org/10.3748/wjg.15.3191
  15. Berger P, Moll FL. Aortic graft infections: is there still a role for axillobifemoral reconstruction? Semin Vasc Surg 2011;24:205-10. https://doi.org/10.1053/j.semvascsurg.2011.10.011
  16. Bisdas T, Bredt M, Pichlmaier M, et al. Eight-year experience with cryopreserved arterial homografts for the in situ reconstruction of abdominal aortic infections. J Vasc Surg 2010;52:323-30. https://doi.org/10.1016/j.jvs.2010.02.277
  17. Chung J, Clagett GP. Neoaortoiliac System (NAIS) procedure for the treatment of the infected aortic graft. Semin Vasc Surg 2011;24:220-6. https://doi.org/10.1053/j.semvascsurg.2011.10.012
  18. Setacci C, de Donato G, Setacci F. Endografts for the treatment of aortic infection. Semin Vasc Surg 2011;24:242-9. https://doi.org/10.1053/j.semvascsurg.2011.10.009
  19. Malas MB, Saha S, Qazi U, et al. Is endovascular stent-graft treatment of primary aortoesophageal fistula worthwhile? Vasc Endovascular Surg 2011;45:83-9. https://doi.org/10.1177/1538574410380793
  20. Danneels MI, Verhagen HJ, Teijink JA, Cuypers P, Nevelsteen A, Vermassen FE. Endovascular repair for aorto-enteric fistula: a bridge too far or a bridge to surgery? Eur J Vasc Endovasc Surg 2006;32:27-33. https://doi.org/10.1016/j.ejvs.2005.11.031

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