Cytomegalovirus Infection-related Spontaneous Intestinal Perforation and Aorto-enteric Fistula after Abdominal Aortic Aneurysmal Repair.
- Author:
Su Young AHN
1
;
Sun Young LEE
;
Bum Sung KIM
;
Kyoung Hoon RHEE
;
Jeong Hwan KIM
;
In Kyung SUNG
;
Hyung Seok PARK
;
Choon Jo JIN
Author Information
- Publication Type:Case Report ; English Abstract
- Keywords: Abdominal aortic aneurysm; Bleeding; Cytomegalovirus; Peptic ulcer; Perforation
- MeSH: Aged; Aged, 80 and over; Aorta, Abdominal/*surgery; Aortic Aneurysm, Abdominal/complications/*surgery; Aortic Diseases/*diagnosis/surgery/virology; Cytomegalovirus Infections/*complications/diagnosis/pathology; Endoscopy, Gastrointestinal; Gastrointestinal Hemorrhage/etiology; Humans; Intestinal Fistula/*diagnosis/surgery/virology; Intestinal Perforation/*diagnosis/virology; Male; Vascular Fistula/*diagnosis/surgery/virology
- From:The Korean Journal of Gastroenterology 2010;55(1):62-67
- CountryRepublic of Korea
- Language:Korean
- Abstract: Gastrointestinal complications (GI) after thoracoabdominal aortic repair can be classified as biliary disease, heptic dysfunction, pancreatitis, GI bleeding, peptic ulcer disease, bowel ischemia, paralytic ileus, and aortoenteric fistula. Theses complications are associated with high post operative morbidity and mortality. Most of the aortoenteric fistulae after thoracoabdominal aortic surgery are found at the duodenum, near the surgical site. These rare complications are caused by an indirect communication with abdominal aorta that originated from an aneursymal formation ruptured into the duodenum. Such aorto-duodenal fistula formation is considered as a result of inflammatory change from secondary infection near the surgical instruments. Herein, we report two cases of massive upper GI bleeding from aorto-duodenal fistulae and spontaneous lower GI perforation related to cytomegalovirus infection after abdominal aortic aneurysmal repair operations.
