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Aortoenteric fistula is a rare but potentially fatal condition causing massive gastrointestinal bleeding. In particular, double primary aortoenteric fistulae are vanishingly rare. We encountered a 75-year-old male patient suffering from abdominal pain, hematochezia, hematemesis, and hypotension. His computed tomography images showed abdominal aortic aneurysm and suspected aortoenteric fistulae. During surgery, we found two primary aortoenteric fistulae. The one fistula was detected between the abdominal aorta and the third portion of the duodenum, and the other fistula was detected between the abdominal aorta and the sigmoid colon. We conducted the closure of the fistulae, the exclusion of the aneurysm, and axillo-bifemoral bypass with a polytetrafluoroethylene graft. The patient was discharged with no complications on the 21st postoperative day.
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http://dx.doi.org/10.5090/kjtcs.2012.45.5.330 | DOI Listing |
J Surg Case Rep
August 2025
Department of Surgery, University of Miami Miller School of Medicine, 1475 NW 12th Ave, Miami, FL 33136, United States.
Aortoenteric fistula (AEF) is a rare but catastrophic complication following esophagectomy, often resulting in massive upper gastrointestinal bleeding and high mortality. While most cases occur early in the postoperative period, delayed presentations remain poorly understood. We report the case of a 54-year-old woman who underwent esophagectomy and gastric pull-up for mid-esophageal squamous cell carcinoma.
View Article and Find Full Text PDFCase Rep Surg
July 2025
Department of Surgery, LSU Health Shreveport, Shreveport, Louisiana, USA.
Fistula formation is a connection between anatomic locations that is intrinsically abnormal. A variety of causative etiologies and involved structures exist for these anomalous developments. Fistulas between vasculature and the enteric system are rare.
View Article and Find Full Text PDFEur J Vasc Endovasc Surg
July 2025
Department of Vascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland; Department of Interventional Radiology and Vascular Surgery, Kantonsspital Winterthur, Winterthur, Switzerland.
Objective: There is a lack of consensus on certain terminology and definitions related to vascular graft and endograft infections (VGEIs) and secondary aorto-enteric erosion/fistula and their treatment, outcome reporting, follow up, and reporting standards. The objective of this study was to complete a Delphi consensus study on these VGEI related issues.
Methods: The Delphi methodology was used with a panel of 43 international experts (specialists in vascular or cardiovascular surgery, infectious diseases, nuclear medicine, and radiology).
Clin Microbiol Infect
July 2025
Department of Infectious Diseases and Hospital epidemiology, University Hospital Zurich/ University of Zurich, Zurich, Switzerland.
Scope: Vascular graft or endograft infection (VGEI) is a severe complication requiring a multidisciplinary approach combining surgery and antimicrobial therapy. This study aimed to develop expert consensus on the management and follow-up of VGEI, with a focus on antimicrobial strategies.
Methods: A modified Delphi method was conducted to reach consensus on key aspects of VGEI care, including antimicrobial treatment, surgical management, and follow-up.
Front Surg
June 2025
Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.
Primary aortoduodenal fistula (PADF) is a rare but fatal condition with a high mortality rate. Among these, an even smaller subset is caused by an inflammatory abdominal aortic aneurysm (IAAA). Controlling hemorrhage and infection is the primary concern for lifesaving treatments.
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