Spontaneous Evacuation of a Vascular Metallic Stent through a Graft-Duodenal Fistula with Concomitant Non-Surgical Fistula Closure

Shindo, Shunya; Inoue, Hidenori; Motohashi, Shinya; Uchiyama, Hirotomo; Akasaka, Junetsu

doi:10.3400/avd.cr.16-00068

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2020

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“…Contrarily, Shindo et al reported spontaneous closure of graft-duodenal fistula without any surgical fistula closure. 10 ) This report suggested that if infection was controllable during the pre- and post-operative period, then there is a possibility of spontaneous closure of the fistula. In our case, the patient did not show any sign of infection; therefore, we decided to perform simple ligation of the iliac graft to reduce pulsatile stress.…”

Section: Discussionmentioning

confidence: 96%

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

Kunioka

Kuwabara

Ohira

et al. 2020

Annals of Vascular Diseases

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Secondary aortoenteric fistula or erosion (SAEFE), an abnormal connection between the aorta and gastrointestinal tract, is a rare but critical complication after abdominal aortic aneurysm repair. Most SAEFEs occur between the aorta or proximal graft anastomosis and the duodenum, and occurrence between the iliac graft and small intestine is rare. Standard SAEFE management involves graft removal and extra-anatomical bypass. However, this is extremely invasive and has a high mortality rate. We encountered a rare case of SAEFE with no sign of infection, which was successfully treated by ligating the iliac graft to reduce mechanical pulsatile stress and bleeding following the retroperitoneal approach.

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Section: Discussionmentioning

confidence: 96%