Secondary Aortoenteric Fistula After Abdominal Aortic Graft Implementation in Our Own Material

Surgical Management of Aortoenteric Erosion Due to Pulsatile Stress After Aneurysm Repair: A Case Report

“…Gnus et al described 24 patients with SAEFE; 16 of which presented with symptoms of gastrointestinal bleeding, 6 with hemorrhagic shock, 4 with septic shock, 8 with abdominal pain, 4 with back pain, and 8 with a pulsatile abnormal mass. 6) Some reports have suggested the existence of herald bleeding, which is a characteristic warning sign of this disease. 1,7) Song et al suggested that the frequency of herald bleeding was an average of 3.6 episodes and that the time between the initial herald bleeding and massive exsanguination ranged from 5 h to 5 months (median, 4 days, with over 50% of cases being longer than 3 days).…”

Treatment of Post-Evar Aortoduodenal Fistula Without Endograft Excision

“…Secondary aortoenteric fistula is a devastating complication of aortic surgery; its presentation and diagnosis are welldescribed. 1,2,[14][15][16] Its treatment has evolved considerably. Historically, post-operative aortoenteric fistula has required laparotomy, surgical repair of the bowel, excision of the infected graft, oversewing of the aortic stump and extra-anatomic revascularization.…”

Aortoileal fistula as a rare cause of bleeding from the gastrointestinal system – Case Report

“…Literature reports describe cases of aorto-colonic fistula repair by replacing the aortic prosthesis with a silver acetatecoated prosthesis. The literature data regarding comparisons of treatment of patients with aortoenteric fistula demonstrate an extremely high intraoperative mortality, even up to 25%; therefore, once an accurate diagnosis has been determined, the treatment of choice is endovascular prosthesis replacement [5,6]. The basic method of treatment is removal of the prosthesis in which the infection has developed due to its contact with the intestinal lumen, and subsequent repair of the vascular wall and the intestine.…”