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MD : Medical Data : medicinska revija = medical review / glavni i odgovorni urednik Dušan Lalošević. - Vol. 1, no. 1 (2009)- . - Zemun : Udruženje za kulturu povezivanja Most Art Jugoslavija ; Novi Sad : Pasterovo društvo, 2009- (Beograd : Scripta Internacional). - 30 cm

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ISSN 1821-1585 = MD. Medical Data
COBISS.SR-ID 158558988


PRIMARY AORTO-ENTERIC FISTULA: Case report/

PRIMARNA AORTOENTERIČNA FISTULA: Prikaz slučaja

Authors

 

Igor Sekulić 1, Boris Jović 1, Jelena Bošković-Sekulić 2, Miroslav Mišović 1, Berislav Vekić3, Nemanja Rančić 1

1Institute of Radiology, Military Medical Academy, Belgrade, Serbia
2Clinic for Emergency Medicine, Clinical Center Kragujevac, Kragujevac, Serbia
3Department of Surgery, Clinical Centre “Dr Dragiša Mišović”, Faculty of Medical Sciences, University of Kragujevac, Serbia

 

UDK: 616.132-007.253


The paper was received / Rad primljen: 03.12.2018.

Accepted / Rad prihvaćen: 20.02.2019

 


Correspondence to:


Nemanja Rančić, MD, PhD,
Institute of Radiology,
Military Medical Academy,
Belgrade, Serbia;
Mob: 063-8524443
e-mail: nece84@hotmail.com

 

 

Abstract

 

Aorto-enteric fistula is a rare pathological entity of communication between the lumen of the aorta and the cavity of the digestive tract. In the non-treatment cases, mortality is almost 100%, and in the operative treatment cases, mortality remains high, up to 70%. The aim of our work was to describe one case of the patient with primary aorto-enteric fistula. In conclusion, aorto-enteric fistula should be suspected in cases of gastrointestinal bleeding and the presence of an aortic aneurysm. Early diagnosis of this pathological entity posed by an overview of computerized tomography and proper treatment are crucial..

 

Key words:

Aorto-enteric fistula, clinical symptoms and signs, diagnoses

 

 

Sažetak

 

Aortoenetrična fistula jeste redak patološki entitet komunikacije između lumena aorte i šupljine digestivnog trakta. U slučaju ne tretiranja smrtnost je skoro 100%, a u slučaju operativnog tretmana smrtnost je i dalje visoka, do 70%. Cilj našeg rada je bio da se opiše jedan slučaj pacijenta sa primarnom aortoenetričnom fistulom. Zaključeno je da treba uvek postaviti sumnju na aortoenteričnu fistulu u slučajevima gastrointestinalnog krvarenja i postojanje aneurizme aorte. Rana dijagnoza ovog patološkog entiteta postavljena pregledom kompjuterizovanom tomografijom i pravilni tretman su od presudnog značaja.

 

Ključne reči:

Aortoenterična fistula, klinički simptomi i znaci bolesti, dijagnostika

 

 

 

References:

 

  1. Cooper A. Lectures on the Principles and Practice of Surgery. London: Astley Cooper; 1829.
  2. Spanos K, Kouvelos G, Karathanos C, Matsagkas M, Giannoukas AD. Current status of endovascular treatment of aortoenteric fistula. Semin Vasc Surg. 2017;30(2-3):80-4.
  3. Varetto G, Gibello L, Trevisan A, Castagno C, Garneri P, Rispoli P. Primary Aortoenteric Fistula of a Saccular Aneurysm: Case Study and Literature Review. Korean Circ J. 2015;45(4):337-9.
  4. Bernard VM. Aortoenteric fistulas. In: Rutherford RB, editor. Vascular surgery. 3rd ed. Philadelphia, Pa: Saunders; 1989: 528-35.
  5. 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(1):5-10.
  6. Costea R, Vasiliu EC, Zărnescu NO, Neagu S. Primary aortoenteric fistula: case report. Chirurgia (Bucur). 2015;110(1):78-80.
  7. Ikonomopoulos DC, Spanos PK, Lazarides DP. Pathogenesis of aortoenteric fistula. An experimental study. Int Angiol. 1986;5(1):33-7.
  8. Voorhoeve R, Moll FL, de Letter JA, Bast TJ, Wester JP, Slee PH. Primary aortoenteric fistula: report of eight new cases and review of the literature. Ann Vasc Surg. 1996;10(1):40-8.
  9. Hughes FM, Kavanagh D, Barry M, Owens A, MacErlaine DP, Malone DE. Aortoenteric fistula: a diagnostic dilemma. Abdom Imaging. 2007;32(3):398-402.
  10. Reilly LM, Altman H, Lusby RJ, Kersh RA, Ehrenfeld WK, Stoney RJ. Late results following surgical management of vascular graft infection. J Vasc Surg. 1984;1(1):36-44.
  11. O’Hara PJ, Hertzer NR, Beven EG, Krajewski LP. Surgical management of infected abdominal aortic grafts: review of a 25-year experience. J Vasc Surg. 1986;3(5):725-31.
  12. Busuttil RW, Rees W, Baker JD, Wilson SE. Pathogenesis of aortoduodenal fistula: experimental and clinical correlates. Surgery. 1979;85(1):1-13.
  13. 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(5):330-3.
  14. Sever A, Rheinboldt M. Unstable abdominal aortic aneurysms: a review of MDCT imaging features. Emerg Radiol. 2016;23(2):187-96.
  15. Malik MU, Ucbilek E, Sherwal AS. Critical gastrointestinal bleed due to secondary aortoenteric fistula. J Community Hosp Intern Med Perspect. 2015;5(6):29677. doi: 10.3402/jchimp.v5.29677.
  16. Mark AS, Moss AA, McCarthy S, McCowin M. CT of aortoenteric fistulas. Invest Radiol. 1985;20(3):272-5. 
  17. Wood A, Bendjelid SM, Bendjelid K. Primary aortoenteric fistula: should enhanced computed tomography be considered in the diagnostic work-up? Anesth Analg. 2005;101(4):1157-9, table of contents.
  18. Perrone T, Pagani C, Mossolani EE. Ultrasound detection of aortoenteric fistula in a patient with sepsis. J Ultrasound. 2017;20(2):157-9.
  19. Vilas-Boas F, Azevedo F, Marques M, Baldaque-Silva F, Cardoso H, Costa-Lima J, et al. Primary aortoenteric fistula. Clin J Gastroenterol. 2013;6(4):299-302.
  20. Sweeney MS, Gadacz TR. Primary aortoduodenal fistula: manifestation, diagnosis, and treatment. Surgery. 1984;96(3):492-7.
  21. Rossi UG, Cariati M. Aortoenteric fistula. J Cardiovasc Comput Tomogr. 2015;9(5):461-2.


PDF Sekulić I. et al. • MD-Medical Data 2019;11(1): 055-057

 

 

 

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