Aortoenteric fistula secondary to an Inflammatory Abdominal Aortic Aneurysm
| Autor: | Wei David Wen, Shuhui Melissa Lee, Yusheng Keefe Lai |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Fistula Aortic Diseases Aortoenteric fistula 030204 cardiovascular system & hematology 030218 nuclear medicine & medical imaging 03 medical and health sciences Aortic aneurysm 0302 clinical medicine Fibrosis medicine.artery Intestine Small Intestinal Fistula medicine Humans Radiology Nuclear Medicine and imaging Aged Ultrasonography Vascular Fistula Aorta business.industry Gastrointestinal Radiology Mycotic aneurysm medicine.disease medicine.anatomical_structure cardiovascular system Abdomen Radiology Differential diagnosis Tomography X-Ray Computed business Aortic Aneurysm Abdominal Extravasation of Diagnostic and Therapeutic Materials |
| Zdroj: | Journal of Radiology Case Reports. 13 |
| ISSN: | 1943-0922 |
| Popis: | Primary aortoenteric fistulas are rare, with the annual incidence of such fistulas estimated to be 0.007 per million. The most common predisposing conditions for primary aortoenteric fistulas are atherosclerotic abdominal aortic aneurysms or penetrating atherosclerotic ulcers. We illustrate a rare case of an inflammatory aortic aneurysm causing a primary aortic fistula, with a direct fistulous jet from the aorta to the bowel with resultant catastrophic bleeding. In contrast to atherosclerotic aneurysms, most inflammatory aneurysms are symptomatic and show dense perianeurysmal fibrosis and periaortic wall thickening. A direct jet of contrast extravasation from the aorta into a bowel loop, while rarely seen, remains the most specific sign of a primary aorta-enteric fistula. A comprehensive literature review of the clinical presentation, imaging features, and differential diagnosis of a primary aortoenteric fistula are also discussed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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