Primary Aortoenteric Fistula of a Saccular Aneurysm: Case Study and Literature Review.
10.4070/kcj.2015.45.4.337
- Author:
Gianfranco VARETTO
1
;
Lorenzo GIBELLO
;
Alessandra TREVISAN
;
Claudio CASTAGNO
;
Paolo GARNERI
;
Pietro RISPOLI
Author Information
1. Division of Vascular Surgery, Department of Surgical Sciences, AOU Citta della Salute e della Scienza, Torino, Italy. gianfranco.varetto@unito.it
- Publication Type:Case Report
- Keywords:
Aortic aneurysm, abdominal;
Complications;
Fistula
- MeSH:
Anemia;
Aneurysm*;
Aorta;
Aortic Aneurysm, Abdominal;
Diagnosis;
Female;
Fistula*;
Hematemesis;
Humans;
Melena;
Middle Aged
- From:Korean Circulation Journal
2015;45(4):337-339
- CountryRepublic of Korea
- Language:English
-
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.