Unusual clinical presentation of primary aortoduodenal fistula

查看全文 作　　者：Daniele [1]Bissacco;Luca [1]Freni;Luca [1]Attisani;Iacopo [1]Barbetta;Raffaello [1]Dallatana;Piergiorgio [1]Settembrini

机构地区：[1]Daniele Bissacco,Luca Freni,Luca Attisani,Iacopo Barbetta,Raffaello Dallatana,Piergiorgio Settembrini

出　　处：《Gastroenterology Report》索引2015年第3卷第2期,共5页

摘　　要：Primary aorto-enteric fistula(PAEF)develops between the native aorta and the gastro-intestinal tract,in the presence of an abdominal aortic aneurysm.It is a rare,life-threatening condition and appears to be less frequent than secondary aortoenteric fistula,which is associated with previous aortic prosthetic reconstruction.When untreated,the overall mortality rate is almost 100%.Diagnosis may be challenging until the occurrence of a massive haemorrhage.In the presence of gross contamination,patients tend to a worse prognosis.Extra-anatomical bypass and repair of the enteric tract is the treatment of choice in case of gross contamination.In situ reconstruction is often reported in cases of mild bacterial contamination.Endovascular treatment has recently become a valid option in haemodynamically unstable patients,but a staged approach,with delayed surgical treatment,seems advisable. 关键词：aorto-enteric fistula aortoduodenal fistula gastro-intestinal bleeding abdominal aortic aneurysm abdominal pulsatile mass

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Unusual clinical presentation of primary aortoduodenal fistula

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