[Gastrointestinal hemorrhage in an aged subject with an aortic prosthesis].
An old patient with aortic prosthetic graft was admitted to the hospital with an upper gastro-intestinal bleeding. The prosthesis was seen protruding into the afferent loop of a previous gastrectomy. Despite immediate surgery to remove the aortic graft and to close the fistula, the patient died suddenly on the first postoperative day. A herald bleeding two months previously had passed without suspicion of a possible aorto-enteric fistula. The pathogenesis and clinical appearance of aorto-enteric fistulae are reviewed and the attitude in the elderly with aortic prostatic graft and upper gastro-intestinal blood loss is discussed.
D000368:Aged; D001012:Aorta, Abdominal; 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
Gastro-intestinale bloeding bij een bejaarde met aortaprothese.