CASE REPORT
Aortoileal fistula as a rare cause of bleeding from the gastrointestinal system – Case Report
1
Department of Internal Medicine, Medical University, Lublin, Poland
2
Department of Radiology, Medical University, Lublin, Poland
3
Department of Surgery, Medical University, Lublin, Poland
Corresponding author
Wojciech Cios
Department of Internal Medicine, Medical University of Lublin, Stanisława Staszica 16, 20-081 Lublin, Poland
Department of Internal Medicine, Medical University of Lublin, Stanisława Staszica 16, 20-081 Lublin, Poland
J Pre Clin Clin Res. 2018;12(4):126–128
KEYWORDS
Endoscopyfistulagastrointestinal bleedingaortoenteric fistulaaortic stentgraftaortoilealaortoileal fistula99mTclabelled erythrocyte scintigraphy
TOPICS
ABSTRACT
Introduction:
Gastrointestinal bleedings are often a manifestation of ongoing disease processes within the GI tract. Thanks to widely available endoscopic and imaging examinations, they can be quickly and accurately diagnosed.
Case report:
A 68-year-old male patient was admitted to the Department of Internal Diseases due to lower GI bleedings. The patient’s history revealed endovascular aneurysm repair and right coronary artery drug-eluting stent angioplasty. The patient underwent multiple diagnostic procedures. Once the potential site of bleeding had been found and emergency exploratory laparotomy performed, visualization was enabled of the location of an aortoileal fistula caused by a prosthesis decubitus.
Conclusions:
In patients with aortic or aortoileal prostheses and symptoms of acute haemorrhage, an aortoenteric fistula should always be considered. Diagnosis should be based on complementary endoscopic and radiological examinations.
Gastrointestinal bleedings are often a manifestation of ongoing disease processes within the GI tract. Thanks to widely available endoscopic and imaging examinations, they can be quickly and accurately diagnosed.
Case report:
A 68-year-old male patient was admitted to the Department of Internal Diseases due to lower GI bleedings. The patient’s history revealed endovascular aneurysm repair and right coronary artery drug-eluting stent angioplasty. The patient underwent multiple diagnostic procedures. Once the potential site of bleeding had been found and emergency exploratory laparotomy performed, visualization was enabled of the location of an aortoileal fistula caused by a prosthesis decubitus.
Conclusions:
In patients with aortic or aortoileal prostheses and symptoms of acute haemorrhage, an aortoenteric fistula should always be considered. Diagnosis should be based on complementary endoscopic and radiological examinations.
REFERENCES (7)
1.
Fabiszewski A, Jackowski M. Bleeding from the splenic artery into a pancreatic pseudocyst with a coexistingmicrofistula to the transverse colon as atypical recurrent massive gastrointestinal bleeding. Polish Journal of Surgery 2009; 81(11): 542–549.
2.
Pupka A, Skóra J, Pawłowski S, Dawiskiba T, Szyber P. The Surgical treatment of aorto-duodenal fistulas after reconstructive operations of the abdominal aorta. Polish Surgery 2003; 5(2), 83–90.
3.
Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston Textbook of Surgery, Ed 18, part IV. In: Popiela T, editor. Acute bleeding from the gastrointestinal tract. Wrocław 2013, p. 89.
4.
Pupka A, Szyber PP, Janczak D, Pawłowski S, Szyber P. The treatment of abdominal aortic aneurysms by use of endovascular prosthesis and classic vascular prosthesis. http://www.dbc.wroc.pl/Content... (Access 08.03.2018).
5.
Gnus J, Ferenc S, Kościelna M, Paprocka-Borowicz M, Dawidczyk P, Dziewiszek M, Witkiewicz W. Secondary Aortoenteric Fistula After Abdominal Aortic Graft Implementation in Our OwnMaterial. Adv Clin Exp Med. 2016; 25(6): 1265–1271.
6.
Vaillant JC, Schoell T, Karoui M, Chiche L, Gaudric J, Gibert H, Tresallet C, Koskas F, Hannoun L. Abdominal secondary aorto-enteric fistulae complicating aortic graft replacement: postoperative and long-term outcomes in 32 patients. Med Intensiva. 2013; 37(7): 493–494.
7.
Çiçek ÖF, Çiçek MC, Kadiroğulları E, Uzun A, Ulaş M. Successful Treatment of Secondary Aortoenteric Fistula with a Special Graft. Case Reports in Medicine Vol. 2016(2016), Article ID 9874187, http://dx.doi.org/10.1155/2016....
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