Aortoduodenal fistula secondary to metastatic carcinoma. Angiographic demonstration

Geary, Shannon

doi:10.1001/jama.235.23.2520

Cited by 15 publications

(5 citation statements)

References 2 publications

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“…Primary AEFs usually result from direct erosion of an atherosclerotic infrarenal abdominal aortic aneurysm into the gastrointestinal tract. Other reasons except atherosclerosis leading to enteric communication are infection, radiation therapy, peptic ulcer, gallstones, pancreatitis, diverticular diseases, foreign bodies, metastatic cancer, pseudoaneurysm associated with cystic medial necrosis, and post‐traumatic pseudoaneurysms 1‐7 . Because of close contact with the abdominal aorta, third portion of the duodenum is the most common site of the AEF followed by jejenum, ileum, colon, esophagus, and stomach 8,9 …”

Section: Discussionmentioning

confidence: 99%

Primary Aortoenteric Fistula Associated With Giant Aortic Pseudoaneurysm

Kalko¹,

Murat²,

Ünal³

et al. 2007

J Cardiac Surgery

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Section: Discussionmentioning

confidence: 99%

Primary Aortoenteric Fistula Associated With Giant Aortic Pseudoaneurysm

Kalko¹,

Murat²,

Ünal³

et al. 2007

J Cardiac Surgery

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“…Aortography is also useful in planning surgical intervention because it can provide information on the need for lower extremity revascularization and graft excision. However,successive arteriography procedures have the risk of removing the clot that is partially occluding the fistula, and this has been documented to hasten one patient's death (21). Computed tomographic scanning has been introduced for detection of the disease.…”

Section: Discussionmentioning

confidence: 99%

Two Cases of Aorto-Gastrointestinal Fistula.

et al. 1999

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Wereport two cases of aorto-gastrointestinal fistula. Case 1, a 60-year-old man, suffered from repeat hematemesis. He was preoperatively diagnosed as aortoesophageal fistula with thoracic aortic aneurysm and was successfully treated by graft replacement of the aneurysm. Case 2, a 73-year-old man, presented with massive gastrointestinal bleeding, yet repeat endoscopical examination did not reveal the origin of the bleeding. He died of catastrophic hematochezia. The pathological findings at autopsy revealed an aortoduodenal fistula. These two cases suggested the importance to consider an aorto-gastrointestinal fistula in the differential diagnosis of patients presenting gastrointestinal hemorrhage.

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“…The duodenum will thus be subjected to the continuous arterial pulsation that may cause vascu-VASCULAR SUR6ERY lar compromise, necrosis and subsequent fistulization. Other causes of primary aortoduodenal fistula include radiation [12], gallstones [31], carcinoma [32,33], diverticular abscess [2], duodenal ulcer [11,[24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39], and foreign body [4,40].…”

Section: Literature Review and Commentmentioning

confidence: 99%