[A double aorto-enteric fistula secondary to an aortic pseudoaneurysm. Its anatomical correction].
A very rare case of double fistula aorto-enteric jejunal and ileal, draining to an aortic pseudoaneurysm, is presented. There were not evidence of sepsis, and by this reason pseudoaneurysm and prosthesis were removed, a new prosthesis was inserted by reconstruction "in situ", and intestinal fistulas were closed. The short- and large-term postoperatory was satisfactory. A review about possible mechanisms implicated in a fistula, diagnosis and therapeutic alternatives was made.
de Frutos Rincón
J L
JL
Unidad de Angiología y Cirugía Vascular, Servicio de Cirugía General, Hospital Arnau de Vilanova, Lérida, España.
Canales Reina
J
J
Gianpaolo
B
B
Iglesias Martínez
E
E
Viñas Salas
J
J
Casals Garrido
R
R
Reñé Espinet
J
J
Pérez Ruiz
L
L
D001012:Aorta, Abdominal / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications* / Q000601:surgery; D001018:Aortic Diseases / Q000209:etiology* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012086:Reoperation
Doble fístula aorto-entérica secundaria a pseudoaneurisma aórtico. Corrección anatómica.