Surgical approach to recurrent secondary aortoenteric fistulas: A case report
| Autor: | Zarbaliyev, Elbrus, Konukoğlu, Oğuz, Çağlıkülekçi, Mehmet, Mansuroğlu, Denyan, Baş, Serap, Kilercik, Hakan |
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| Rok vydání: | 2021 |
| Předmět: |
Extra-anatomic reconstruction
Pulmonary and Respiratory Medicine Aortic graft medicine.medical_specialty Gastrointestinal bleeding Surgical approach business.industry Fistula Fecal occult blood Aortoenteric fistula Case Report medicine.disease graft-jejunal fistula Surgery recurrent graft enteric fistula medicine In patient graft-duodenal fistula Cardiology and Cardiovascular Medicine Complication business secondary aortoenteric fistula |
| Zdroj: | Turkish Journal of Thoracic and Cardiovascular Surgery |
| ISSN: | 2149-8156 1301-5680 |
| Popis: | The increasing number of abdominal aortic grafts due to abdominal aortic aneurysms has caused secondary aortoenteric fistulas to be seen more frequently as a cause of gastrointestinal bleeding. High index of suspicion plays a significant role in the diagnosis in patients having clinical symptoms ranging from fecal occult blood to massive gastrointestinal bleeding, accompanied by hemorrhagic shock. A 65-year-old male patient developed two secondary aortoenteric fistulas consecutively. The first one was aortic graft-jejunal and the second one was aortic graft-duodenal in a short period. Secondary aortoenteric fistula developed after aortobifemoral bypass. The patient underwent graft revision and jejunal repair. He was reoperated three months later due to the newly developed aortic graft-duodenal fistula. The duodenal defect was closed, and an extra-anatomic aortoiliac bypass was performed to avoid graft-related enteric fistula. The patient was discharged uneventfully and was free from any complication at nine months after surgery. |
| Databáze: | OpenAIRE |
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