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Two unique cases of primary aortoenteric fistula following a small aneurysm and penetrating ulcer of the abdominal aorta

A primary aortoenteric fistula (PAEF) is a rare condition, and its associated mortality has remained high. We have presented two challenging cases of PAEF related to a small abdominal aortic aneurysm and an abdominal penetrating aortic ulcer. In both cases, a definite diagnosis was established intra...

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Autores principales: Barmparessos, Emmanouil, Geropapas, George, Chatzigakis, Petros, Katsikas, Vasileios, Kopadis, George
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9395754/
https://www.ncbi.nlm.nih.gov/pubmed/36016700
http://dx.doi.org/10.1016/j.jvscit.2022.06.013
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author Barmparessos, Emmanouil
Geropapas, George
Chatzigakis, Petros
Katsikas, Vasileios
Kopadis, George
author_facet Barmparessos, Emmanouil
Geropapas, George
Chatzigakis, Petros
Katsikas, Vasileios
Kopadis, George
author_sort Barmparessos, Emmanouil
collection PubMed
description A primary aortoenteric fistula (PAEF) is a rare condition, and its associated mortality has remained high. We have presented two challenging cases of PAEF related to a small abdominal aortic aneurysm and an abdominal penetrating aortic ulcer. In both cases, a definite diagnosis was established intraoperatively, and the PAEF was repaired with in situ aortic reconstruction. Despite the successful outcome for the first patient, the postoperative complications were fatal for the second patient. The diagnosis of PAEF requires high suspicion and should be a part of the differential diagnosis in every case of gastrointestinal bleeding, especially when a history of, or risk factors for, aortic pathology are present.
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spelling pubmed-93957542022-08-24 Two unique cases of primary aortoenteric fistula following a small aneurysm and penetrating ulcer of the abdominal aorta Barmparessos, Emmanouil Geropapas, George Chatzigakis, Petros Katsikas, Vasileios Kopadis, George J Vasc Surg Cases Innov Tech Case report A primary aortoenteric fistula (PAEF) is a rare condition, and its associated mortality has remained high. We have presented two challenging cases of PAEF related to a small abdominal aortic aneurysm and an abdominal penetrating aortic ulcer. In both cases, a definite diagnosis was established intraoperatively, and the PAEF was repaired with in situ aortic reconstruction. Despite the successful outcome for the first patient, the postoperative complications were fatal for the second patient. The diagnosis of PAEF requires high suspicion and should be a part of the differential diagnosis in every case of gastrointestinal bleeding, especially when a history of, or risk factors for, aortic pathology are present. Elsevier 2022-07-16 /pmc/articles/PMC9395754/ /pubmed/36016700 http://dx.doi.org/10.1016/j.jvscit.2022.06.013 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case report
Barmparessos, Emmanouil
Geropapas, George
Chatzigakis, Petros
Katsikas, Vasileios
Kopadis, George
Two unique cases of primary aortoenteric fistula following a small aneurysm and penetrating ulcer of the abdominal aorta
title Two unique cases of primary aortoenteric fistula following a small aneurysm and penetrating ulcer of the abdominal aorta
title_full Two unique cases of primary aortoenteric fistula following a small aneurysm and penetrating ulcer of the abdominal aorta
title_fullStr Two unique cases of primary aortoenteric fistula following a small aneurysm and penetrating ulcer of the abdominal aorta
title_full_unstemmed Two unique cases of primary aortoenteric fistula following a small aneurysm and penetrating ulcer of the abdominal aorta
title_short Two unique cases of primary aortoenteric fistula following a small aneurysm and penetrating ulcer of the abdominal aorta
title_sort two unique cases of primary aortoenteric fistula following a small aneurysm and penetrating ulcer of the abdominal aorta
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9395754/
https://www.ncbi.nlm.nih.gov/pubmed/36016700
http://dx.doi.org/10.1016/j.jvscit.2022.06.013
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