Life-threatening Arterioenteric Fistula Bleeding Treated by Embolization

Duvnjak, Stevo; Andersen, Poul Erik

doi:10.1007/s00270-012-0354-8

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…The abdomino-pelvic CT included a pre-contrast phase followed by angiographic arterial and venous phases. CT with IV contrast is considered the best tool for diagnosing PADF in the stable patient (sensitivity 94%, specificity 85%) [ 13 ]. Oral contrast media should be avoided when imaging gastrointestinal bleeding as their diagnostic yield is low [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Duvnjak et al, used coil embolisation to successfully treat a bleeding fistula between the left internal iliac artery and sigmoid colon in a patient who received radiotherapy for prostate and caecal cancer. There were no adverse events during the relatively short 5-month follow-up [ 13 ]. Leonhardt et al studied the outcome over a three-year period of five patients with abdominal AEF (four primary, one secondary) who underwent balloon occlusion and endovascular repair.…”

Section: Discussionmentioning

confidence: 99%

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Unusual site for primary arterio-enteric fistula resulting in massive upper gastrointestinal bleeding – A case report on presentation and management

Dimech

Sammut

Cortis

et al. 2018

International Journal of Surgery Case Reports

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HighlightsPrimary arterio-enteric fistula between the common iliac artery and duodenum is rare and radiotherapy is one aetiological factor.Resuscitation is mandatory on presentation with acute massive haematemesis secondary to ilio-duodenal fistula.Interventional radiology can be successfully deployed mainly in the form of stenting or coil embolisation.Follow-up open fistula repair is recommended as a definitive measure to prevent a late recurrent haemorrhagic episode.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Unusual site for primary arterio-enteric fistula resulting in massive upper gastrointestinal bleeding – A case report on presentation and management

Dimech

Sammut

Cortis

et al. 2018

International Journal of Surgery Case Reports

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Iliac Artery-Uretero-Colonic Fistula Presenting as Severe Gastrointestinal Hemorrhage and Hematuria: A Case Report and Review of the Literature

Policha

Baldwin

Mussa

et al. 2015

Annals of Vascular Surgery

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Critical presentation and management of an acute gastrointestinal haemorrhage as a result of an arterioenteric fistula secondary to a failed pancreatic allograft

Naritsin

Peck

2021

BMJ Case Rep

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We present a case of a 60-year-old woman status post failed pancreatic transplant, presenting with right lower extremity pain and large volume rectal bleeding. The team initiated a massive transfusion protocol. Investigations revealed an arterioenteric (AE) fistula between the right external iliac artery and terminal ileum. The patient was then emergently sent for right iliac artery stent placement, successfully stopping the active arterial haemorrhage. Afterwards, the surgical team transected the pancreatic jejunal anastomosis, subsequently resecting 7 cm of jejunum. On postoperative day 1, the patient became unstable, going into disseminated intravascular coagulation evidenced by low platelet count, elevated prothrombin time and bloody output from multiple sites. Resuscitation with pressors and blood product transfusion was unsuccessful. She was made comfort measures only and expired shortly after extubation. Although a rare aetiology, it is important to consider AE fistulas in patients presenting with vascular and gastrointestinal symptoms in the setting of a failed allograft.

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Life-threatening Arterioenteric Fistula Bleeding Treated by Embolization

Cited by 3 publications

References 16 publications

Unusual site for primary arterio-enteric fistula resulting in massive upper gastrointestinal bleeding – A case report on presentation and management

Unusual site for primary arterio-enteric fistula resulting in massive upper gastrointestinal bleeding – A case report on presentation and management

Iliac Artery-Uretero-Colonic Fistula Presenting as Severe Gastrointestinal Hemorrhage and Hematuria: A Case Report and Review of the Literature

Critical presentation and management of an acute gastrointestinal haemorrhage as a result of an arterioenteric fistula secondary to a failed pancreatic allograft

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