Aorto-Enteric Fistula Associated with Aortic Dissection

Autor: S. Das, D. Matthews, I. Qamar, C. Mallawaarachchi, E. Ieong
Jazyk: angličtina
Předmět:
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