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Primary Aortoenteric Fistula of a Saccular Aneurysm: Case Study and Literature Review. | LitMetric

Primary Aortoenteric Fistula of a Saccular Aneurysm: Case Study and Literature Review.

Korean Circ J

Division of Vascular Surgery, Department of Surgical Sciences, AOU Città della Salute e della Scienza, Torino, Italy.

Published: July 2015

AI Article Synopsis

  • Primary aortoenteric fistula is a serious condition where there's an abnormal connection between the aorta and the intestines, often linked to abdominal aortic aneurysms, but can also occur in healthy aortas.
  • Diagnosing this condition can be challenging and may be delayed unless doctors are highly aware of it.
  • An urgent surgical intervention is the standard treatment, illustrated by a case of a 55-year-old woman who presented with vomiting blood and severe anemia due to a previously undiagnosed saccular abdominal aneurysm.

Article Abstract

Primary aortoenteric fistula is a direct communication between the aorta and intestinal lumen and it represents a rare but potentially lethal complication of an abdominal aortic aneurysm. However, it may occur less frequently in a naive non-aneurysmatic aorta. Diagnosis is often difficult and delayed in most cases, unless there is a high level of clinical awareness. Urgent surgery is still the recommended treatment. We describe the case of primary aortoenteric fistula of a saccular aneurysm. A 55-year-old woman was referred to our center with hematemesis, melena, and severe anemia who was dignosed previously with unknown saccular abdominal aneurysm.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4521113PMC
http://dx.doi.org/10.4070/kcj.2015.45.4.337DOI Listing

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