Aorto-Enteric Fistula Associated with Aortic Dissection
Autor: | S. Das, D. Matthews, I. Qamar, C. Mallawaarachchi, E. Ieong |
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Jazyk: | angličtina |
Předmět: |
Aortic dissection
Medicine(all) medicine.medical_specialty Resuscitation Primary aorto-enteric fistula business.industry Fistula Enteric fistula medicine.disease Atherosclerotic aneurysm Abdominal aortic aneurysm Surgery Shock (circulatory) medicine Back pain cardiovascular system Radiology medicine.symptom business Cardiology and Cardiovascular Medicine |
Zdroj: | European Journal of Vascular and Endovascular Surgery. (1):136 |
ISSN: | 1078-5884 |
DOI: | 10.1016/j.ejvs.2009.02.016 |
Popis: | Primary aorto-enteric fistula (PAEF) is usually due to erosion by atherosclerotic aneurysm. We report a case of PAEF secondary to a previously unrecognised focal abdominal aortic dissection. A 66-year-old man was brought to the casualty department with shock and acute-on-chronic back pain. Following resuscitation, he deteriorated further secondary to frank haematemesis. A prompt contrast enhanced CT scan was performed, and aortic dissection with aorto-duodenal fistula was diagnosed and operated on. To our knowledge, there are no previous reports of penetrating, transmural PAEF secondary to abdominal aortic dissection. |
Databáze: | OpenAIRE |
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