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Primary aorto-enteric fistula: a practicable curable condition? Pathogenetic and clinical aspects.
- Source :
-
International angiology : a journal of the International Union of Angiology [Int Angiol] 1990 Oct-Dec; Vol. 9 (4), pp. 278-81. - Publication Year :
- 1990
-
Abstract
- Primary aorto-enteric fistulas is now being a rare occurrence because of an aggressive approach in terms of surgery of abdominal aortic aneurysms. Three cases is presented in an attempt to elucidate the ethiology, pathogenesis and diagnostic possibilities when dealing with primary aorto-enteric fistulas. The clinical presentation of the patients with primary aorto-enteric fistulas is inconstant, but a hightened index of suspicion should be present when a patient presents with gastrointestinal bleeding of obscure origin, abdominal or back pain and an abdominal mass. Endoscopy and diagnostic imaging may detect a fistula, but a high rate of false negative investigations are produced. The result of diagnostic workup is often laparotomy, which is the safest diagnostic method and may save the patients life.
- Subjects :
- Adult
Aorta, Abdominal
Aortic Aneurysm complications
Aortic Diseases etiology
Aortic Diseases surgery
Duodenal Diseases etiology
Duodenal Diseases surgery
Fistula etiology
Fistula surgery
Humans
Intestinal Fistula etiology
Intestinal Fistula surgery
Laparotomy
Male
Middle Aged
Aortic Aneurysm diagnosis
Aortic Diseases diagnosis
Duodenal Diseases diagnosis
Fistula diagnosis
Intestinal Fistula diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 0392-9590
- Volume :
- 9
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- International angiology : a journal of the International Union of Angiology
- Publication Type :
- Academic Journal
- Accession number :
- 2099964