Secondary aortoduodenal fistula with a fatal outcome: report of six cases.

Abstract:

:Secondary aortoenteric fistulas (AEFs) are a well-known but uncommon cause of gastrointestinal hemorrhage. They usually occur secondary to reconstructive surgery of an abdominal aneurysm. We report six cases of secondary aortoduodenal fistulas, involving patients who, despite presenting with classic "herald bleeding," died as a result of delayed operative intervention. We also discuss the pathogenesis, clinical presentation, and diagnosis of AEFs, emphasizing the value of clinical suspicion and negative endoscopy in establishing the diagnosis and the need for early operative intervention.

journal_name

Surg Today

journal_title

Surgery today

authors

Katsinelos P,Paroutoglou G,Papaziogas B,Beltsis A,Mimidis K,Pilpilidis I,Tsolkas P,Soufleris K,Vradelis S,Koutelidakis I

doi

10.1007/s00595-004-2970-7

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

677-81

issue

8

eissn

0941-1291

issn

1436-2813

journal_volume

35

pub_type

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