[Secondary aorto-enteric fistula].
On the basis of five case histories, the causes, symptoms, investigations, diagnosis and treatment of secondary aorto-enteric fistulae are reviewed. In a patient in whom reconstruction in the aortoiliac segment has been undertaken, recurrent haematemesis and melaena, pyrexia and septicaemia and abdominal pain should lead to investigation for aorto-enteric fistula by means of oesophagogastro-duodenoscopy and radiological investigations if the condition permits this. Otherwise, emergency laporotomy with thorough examination of the intestine should be undertaken. The condition is associated with a considerable mortality but the prognosis is improved by rapid intervention. In cases where aorto-enteric fistula is suspected, the patient should be referred to a department for vascular surgery.
Olesen
L L
LL
Baadsgaard
S E
SE
Egeblad
K
K
Andrup
H
H
D001012:Aorta, Abdominal / Q000601:surgery*; D001018:Aortic Diseases / Q000209:etiology*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects; D005260:Female; D005402:Fistula / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications
Den sekundaere aorto-enteriske fistel.