Abstract：
:Primary aortoenteric fistulas (PAEF) are rare entities associated with a high mortality. Although several causes have been reported, their occurrence is usually due to erosion of an abdominal aortic aneurysm into the intestinal tract. The most common sites for the fistula are the third and fourth portions of duodenum. The classical triad of gastrointestinal hemorrhage, abdominal mass and abdominal or back pain, though highly suggestive for PAEF, is uncommon. The typical bleeding pattern associated with PAEF is characteristically intermittent, starting with a brief "herald bleeding" followed eventually by major gastrointestinal hemorrhage, often with fatal outcome. The pre-operative examinations are often not helpful and can lead to delayed diagnosis and surgery. In a patient with risk factors for atherosclerosis and significant upper gastrointestinal bleeding in the absence of an evident source, PAEF should be suspected. A high index of suspicion of this condition allows correct diagnosis and definitive treatment to be carried out. If PAEF is suspected and the patient is unstable the surgeon should be prepared to skip the preoperative investigations in favour of early surgical exploration. Definitive treatment includes primary duodenal repair and aortic aneurismal resection with graft "in situ" replacement. The authors present a successfully treated case and stress the importance of clinical suspicion in order to achieve correct diagnosis and treatment.
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Fancellu A,Giuliani G,Feo CF,Scanu AM,Porcu Asubject
Has Abstractpub_date
2004-05-01 00:00:00pages
373-7issue
3eissn
0003-469Xissn
2239-253Xjournal_volume
75pub_type
杂志文章abstract：:Chronic mesenteric ischemia is a clinical condition caused by obstructive or occlusive disease of the mesenteric vessels, with potentially lethal consequences. We describe a case of open multiple revascularization in a patient affected by antiphospholipid syndrome and diffuse atherosclerosis, with an abdominal aortic ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-12-20 00:00:00
abstract：OBJECTIVE:Cervical radiation for head and neck cancer has been associated with an increased incidence of carotid arterial stenosis. Modern radiation therapy delivers higher doses with increasing long-term survival. In our study 50 patients with head and neck malignancies treated with radiotherapy are analized with colo...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-11-01 00:00:00
abstract：:Carcinoid tumors of the ampulla are an uncommon finding. The authors report an asymptomatic case of ampullary carcinoid in which the diagnosis was obtained only with definitive histology after radical surgery. The differential diagnosis of these tumors is quite difficult, mostly because they are often asymptomatic. Su...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：AIM:This technical note aims to suggest a safe introduction of ancillary trocars in gynaecological surgery, in order to prevent inferior epigastric artery damage. MATERIAL OF STUDY:We performed a narrative overview, synthesizing the findings of literature retrieved from searches of computerized databases. RESULTS:Amo...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-01-01 00:00:00
abstract：:In this article the Authors take under consideration surgical techniques of segmental osteotomy of the mandible in the treatment of the maxillo-facial skeleton alterations. The anterior inferior alveolar segmental osteotomy, total subapical osteotomy, anterior subapical osteotomy, genioplasty and the midline mandibula...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1990-03-01 00:00:00
abstract：:Hereditary spherocytosis (HS) is a common inherited hemolytic anemia caused by a defective erythrocyte cellular membrane. Irrespective of type of surgery performed, several case reports comparing the two type of procedures, have not proven any significant difference between serum bilirubin, serum hemoglobin, red blood...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2018-07-11 00:00:00
abstract：INTRODUCTION:The aim of this study is to evaluate the impact of transthoracic endoscopic sympathectomy on plantar hyperhidrosis in patients operated on for upper limb hyperhidrosis. MATERIALS AND METHODS:From 2003 to 2011, 41 consecutive patients underwent videothoracoscopic T3-T4 sympathicotomy or T3-T4 ganglion bloc...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-03-01 00:00:00
abstract：:In this study the authors examined the influence of 71, beta-estradiol on cutaneous fibroblasts taken off either from healthy patients with no family history for cancer, or from patients with breast cancer. Fibroblasts were taken from the subcutaneous tissue of the mammary gland by a biopsy carried out in each patient...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1994-11-01 00:00:00
abstract：:Elastofibroma is a rare benign lesion that typically arises on the posterior chest wall beneath the scapula. The etiopathogenesis is still unclear and the knowledge about its diagnosis and management mainly comes from small case series. We collected all the data related to 11 Elastofibroma Dorsi treated at our institu...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-12-29 00:00:00
abstract：OBJECTIVES:Acute hypercalcemia is a serious condition and represents a physician-surgical emergency: the difficulty in setting a precise diagnosis is due to several possibilities that can cause the condition. It is our purpose to critically evaluate the most actual schemes of treatment and the conditions that could fav...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2004-05-01 00:00:00
abstract：AIM:This study is a critical review of conservative office treatments of haemorrhoidal disease. MATERIAL OF STUDY:Many are outpatient techniques proposed in current literature; several with small series, anecdotal ones or some ones yet abandoned for excessive morbidity (for example anal divulsion, dilatation and so on...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2011-09-01 00:00:00
abstract：OBJECTIVE:To show the possible role of abdominal scintigraphy in the diagnosis of intra-abdominal pathology and its accuracy in detecting ectopic gastric mucosa in pts with intestinal bleeding and/or abdominal pain. METHOD:99m-Tc-pertechnetate scintigraphy was performed on 54 pts with a history of intestinal bleeding ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2000-03-01 00:00:00
abstract：UNLABELLED:Ectopic thyroid goiter accounts approximately for 1% of all substernal goiters and for 10-15% of all mediastinal masses. Sternotomy is generally accepted as the most adequate approach for the removal of ectopic thyroid goiters of the anterior mediastinum. We report two cases of mediastinal ectopic goiter rem...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-05-01 00:00:00
abstract：AIM:To assess the efficacy of two widely used topical haemostatic agents: oxidised regenerated cellulose gauze and Collagen- Fibrinogen-Thrombin Patch in patients undergoing total thyroidectomy. MATERIAL OF STUDY:This was a prospective, comparative, non-randomised study in which consecutive patients undergoing total t...
journal_title：Annali italiani di chirurgia
pub_type： 临床试验,杂志文章
doi：
更新日期：2013-09-01 00:00:00
abstract：OBJECTIVES:The objective of our study was to determine the predictive factors of their occurrence during conservative surgical treatment of the hepatic hydatid cyst (HHC). PATIENTS AND METHODS:We carried out a retrospective review of patients who had undergone conservative surgical treatment of the HHC during 6 years....
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2019-01-01 00:00:00
abstract：:Cavernous hemangioma is the most common benign tumor of the liver. Most patients are asymptomatic and the tumor is discovered incidentally during diagnostics procedures, at laparotomy or at autopsy. Only 10% of hepatic hemangiomas reach dimensions that need surgical treatment. The role of surgical excision in their tr...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1996-03-01 00:00:00
abstract：AIM:To evaluate possible adverse consequences and complications following the procedure of Mason-McLeans Vertical Banded Gastroplasty (VBG), and in those cases the possibility to be related to a surgical mistake. PERSONAL EXPERIENCE:It is based on a casuistic of more than 180 patients, submitted to this restrictive ba...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2008-09-01 00:00:00
abstract：:The globalization of the information and the wide use of the English language in the scientific world impose a not avoidable comparison to the scientific Italian journals, but with value indicators that if accepted without criticism could humble the undeniable internal values. In fact such comparison is based certainl...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：AIM:Retrospective review of aorto-iliac infections in a single vascular surgery center. METHODS:From a retrospective review of their experience in the last 20 years, the Authors analyze a series of 12 cases of aorto-iliac infection. Prognostic factors, surgical options and results are discussed and compared with the l...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2011-11-01 00:00:00
abstract：:Carotid restenosis is defined as a new > 50% diameter-reducing lesion present in sites of previous surgery. The clinical aspects of this complication are strongly connected with their anatomopathologic evolution: fibromuscular hyperplasia in early recurrent disease, atherosclerotic degeneration in the later lesions. R...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
abstract：INTRODUCTION:Acute gastrointestinal bleeding is rare in Crohn's disease. METHODS:We characterized the clinical features and course of such hemorrhage in patients seen at our institution from 1992 to 2000. RESULTS:Five patients had gastrointestinal bleeding during Crohn's disease. All patients had a known Crohn's dise...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2003-03-01 00:00:00
abstract：:Venous aneurysms are rare lesions and of little significance in every day clinical practice. While in many cases asymptomatic they can be the cause of great morbidity due to thrombosis and subsequent possibility of pulmonary embolism. Venous aneurysms are classified in deep and superficial according to affected vein. ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-10-14 00:00:00
abstract：AIM:Trans-Abdominal Preperitoneal Patch (TAPP) repairs for Recurrent Hernia (RH) is a technically demanding procedure. It has to be performed only by surgeons with extensive experience in the laparoscopic approach. The purpose of this study is to evaluate the surgical safety and the efficacy of TAPP for RH performed in...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2017-01-01 00:00:00
abstract：:The association of colorectal cancer and abdominal aortic aneurysm (AAA) is infrequent but poses special problems of priority of treatment under elective circumstances. The purpose of this study was to retrospectively evaluate the outcome of 16 consecutive patients undergoing endovascular aneurysm repair (EVAR) follow...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2013-09-01 00:00:00
abstract：BACKGROUND:Sub-muscular positioning of breast implants requires interrupting as well as disinserting both the abdominal and sterno-chondral fibers of the pectoral muscle; this can produce a muscular strength reduction which reveal bothering and is often detected in some daily motions, such as cutting bread into slices....
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2013-05-01 00:00:00
abstract：INTRODUCTION:Isolated pancreatic trauma is a rare condition and commonly come up in children or young adults.The poor initial symptoms lead to delay diagnosis and treatment. The treatment of isolated distal pancreatic trauma including the Wirsung's duct is generally distal pancreatectomy. In an emergency setting, splen...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2017-09-12 00:00:00
abstract：AIM:Poland syndrome is a constellation of rare congenital anomalies of the chest wall, with or without alterations to the ipsilateral superior extremity. Actually Foucras' classification is commonly used to choose the most appropriate surgical treatment, but often only a radiological classification proves unsatisfactor...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2014-05-01 00:00:00
abstract：:Review of the most significant surveys (data base: Pub Med on September 2003) of elective open surgery for Juxtarenal aneurysms and personal results of 106 cases (9.3% of AAA consecutively operated in the last 11 yrs.) are reported. Mortality and morbidity are discussed related to: technique of aortic cross-clamping; ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2004-03-01 00:00:00
abstract：:Parastomal hernia is a frequent complication of stoma surgery. The results of parastomal hernia repair however are poor, showing an high incidence of postoperative recurrences. In the last years, hernia repair with prosthetic mesh has given better postoperative results. The parastomal hernia, however, is associated wi...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2003-09-01 00:00:00
abstract：:The authors report a case of lower gastrointestinal hemorrhage in a 69-year-old male, in which the sequence colonoscopy-angiography identified the source of bleeding as a rare Angiodysplasia (AD) of the rectum. Such vascular abnormalities are one of the most common causes of major lower gastrointestinal tract bleeding...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2000-09-01 00:00:00
