AI Article Synopsis
- Aortoenteric fistula is a rare but serious condition that can cause severe gastrointestinal bleeding, highlighted by a case involving a 70-year-old man who experienced melena and an infection in his groin area.
- The diagnosis revealed a secondary aortoenteric fistula related to a graft connecting the aorta and a femoral artery, specifically affecting the descending colon.
- The patient underwent successful surgery to remove the infected graft and replace it with a silver acetate-coated vascular graft, suggesting that antimicrobial coatings might reduce reinfection risks in similar cases.
Article Abstract
Aortoenteric fistula is an uncommon but life-threatening cause of gastrointestinal blood loss. We report a case of a 70-year-old man who presented to the emergency department with an episode of melena and infection in the left inguinal region. Diagnosis of secondary aortoenteric fistula was made between the left limb of the aortobifemoral graft and the descending colon. We performed excision of the infected graft and in situ silver acetate coating of prosthetic vascular graft replacement (aortoleft femoral) on the patient. This study reports a rare type of secondary aortoenteric fistula to the left colon, and it describes an unusual and successful surgical treatment. Antimicrobial coating of prosthetic vascular grafts may be a good alternative in the presence of graft infection associated with aortoenteric fistula because in situ grafts may carry an increased risk of reinfection.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4735928 | PMC |
| http://dx.doi.org/10.1155/2016/9874187 | DOI Listing |
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