[Primary aortoduodenal fistula: apropos of 2 cases].
Aortoenteric fistulas are rare. Located at various level of the gastrointestinal tract - from the esophagus to the rectum - the most frequent are aortoduodenal, secondary to abdominal aortic aneurysms. Two new cases, successfully treated, are reported. The characteristic clinical symptoms are abdominal aortic aneurysm, pain and gastrointestinal bleeding; recurrent bleeding is usual; endoscopy is the accuratest method of early diagnosis. Aggressive surgical approach is mandatory: in addition to a prosthesis in uninfected area, even in extra-anatomical position, epiplooplasty between the graft and the gastrointestinal tract is recommended.
D000368:Aged; D001018:Aortic Diseases / Q000150:complications* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D004378:Duodenal Diseases / Q000150:complications* / Q000601:surgery; D005402:Fistula / Q000150:complications* / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications* / Q000601:surgery; D008297:Male; D008875:Middle Aged
Les fistules aortoduodénales primitives: à propos de deux cas.