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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2013, Number 4

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Rev Mex Angiol 2013; 41 (4)

Fístula aortoentérica

Sierra-Juárez MÁ, Córdova-Quintal P, Campero-Urcullo A, Ramos-Hernández C

Language: Spanish
References: 11
Page: 228-231
PDF size: 163.79 Kb.


ABSTRACT

Aortoenteric fistula (AEF) is a communication between the aorta and a segment of the digestive tract, usually the third or fourth portion of duodenum. The suspicion is mainly clinic, with a sore back, a pulsating abdominal tumor data, gastrointestinal bleeding and sepsis, and if secondary, previous surgical treatment with use of prosthetic material. We report a 62 years with multiple morbidities and a history of aortic repair with synthetic graft for AAA, six weeks after his speech returned to service with upper gastrointestinal bleeding and hemodynamic compromise, a CT angiography reveals a pseudoaneurysm of the aorta. Exploratory laparotomy was performed with vascular examination, being 5 cm juxtarenal pseudoaneurysm with aortoenteric fistula secondary 2 cm in the third portion of duodenum.


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