Hemorragia digestiva alta por fístula aorto-entérica secundaria

Ayllón, C. Jimeno; Ariño, J Morillas; Gil, Miguel Ángel Pérez; Molinero, Sagrario Relanzón; Sánchez, L.; Ruiz, C. J. Gómez; García, Cristina García; Fernández, Raquel Martínez; Guevara, A. K. Reyes; Sola, A. Pérez

doi:10.1016/j.gastrohep.2010.11.005

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2024

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“…The primary fistulas are caused by aneurysms, trauma, radiotherapy, and atherosclerotic disease, their incidence ranges between 0.04% and 0.07% at the time of performing an autopsy. The secondary fistulas are usually caused by previous aortic surgery with the placement of synthetic prosthetic grafts, with a postoperative incidence ranging from 0.5% to 2.3% 8 .…”

Section: Discussionmentioning

confidence: 99%

Endovascular management of arterioenteric fistula: a case report

Marcos-Ramírez,

Salazar-Islas,

Sáenz-Reséndez

et al. 2024

CIRUE

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Arterioenteric fistulas (AEFs) are a rare disease. They are a communication between a major artery and digestive tract. We present a patient who, after suffering a gunshot wound to the abdomen, underwent an exploratory laparotomy with damage control surgery, who later presented with hematemesis and melena. Studies were performed where an aneursyma of the right renal artery and gastrointestinal bleeding due to primary arterioenteric fistula were evidenced, which is successfully treated by angioembolization. Endovascular therapy for the treatment of AEF is a useful resource in patients with the previous abdominal surgeries that could make their management more difficult.

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Section: Discussionmentioning

confidence: 99%