Primary aortoenteric fistula is a rare disease with a fatal outcome unless it is diagnosed accurately and treated surgically. We present an elderly patient with primary aortosigmoid fistula confirmed by endoscopy. Descending thoracic aortofemoral bypass was performed and the aortoiliac aneurysm and sigmoid colon were then resected in continuity. The patient maintains a good quality of life 6 years after the operation with good graft patency and no sign of graft infection.
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Case report: Primary aortosigmoid fistula - A rare cause of lower gastrointestinal bleeding.
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September 2017
Department of Vascular Surgery, Sygehus Lillebaelt, Denmark.
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Unusual presentations of aorto-enteric fistula.
Gastrointest Endosc
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Division of Gastroenterology, Washington University School of Medicine, St Louis, Missouri 63110, USA.
Background: Aorto-enteric fistula is rare but can result in exsanguination without timely surgery or endovascular stent placement.
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Primary aortoenteric fistula is a rare disease with a fatal outcome unless it is diagnosed accurately and treated surgically. We present an elderly patient with primary aortosigmoid fistula confirmed by endoscopy. Descending thoracic aortofemoral bypass was performed and the aortoiliac aneurysm and sigmoid colon were then resected in continuity.
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