Primary aortoenteric fistula related to septic aortitis
Primary aortoenteric fistulas usually result from erosion of the bowel wall due to an associated abdominal aortic aneurysm. A few patients have been described with other etiologies such as pseudoaneurysm originating from septic aortitis caused by Salmonella. To present a rare clinical case of pseudo...
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Published in | São Paulo medical journal Vol. 119; no. 4; pp. 150 - 153 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English Portuguese |
Published |
Brazil
Associação Paulista de Medicina - APM
05.07.2001
Associação Paulista de Medicina |
Subjects | |
Online Access | Get full text |
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Summary: | Primary aortoenteric fistulas usually result from erosion of the bowel wall due to an associated abdominal aortic aneurysm. A few patients have been described with other etiologies such as pseudoaneurysm originating from septic aortitis caused by Salmonella.
To present a rare clinical case of pseudoaneurysm caused by septic aortitis that evolved into an aortoenteric fistula.
A 65-year-old woman was admitted with Salmonella bacteremia that evolved to septic aortitis. An aortic pseudoaneurysm secondary to the aortitis had eroded the transition between duodenum and jejunum, and an aortoenteric fistula was formed. In the operating room, the affected aorta and intestinal area were excised and an intestine-to-intestine anastomosis was performed. The aorta was sutured and an axillofemoral bypass was carried out. In the intensive care unit, the patient had a cardiac arrest that evolved to death. |
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Bibliography: | ObjectType-Case Study-3 SourceType-Scholarly Journals-1 content type line 23 ObjectType-Review-1 ObjectType-Feature-5 ObjectType-Report-2 ObjectType-Article-4 |
ISSN: | 1516-3180 1806-9460 1516-3180 |
DOI: | 10.1590/S1516-31802001000400008 |