Aorto-enteric fistula. A case treated with insertion of a new dacron prosthesis and bilateral autotransplantation of the kidneys.
A 54-year-old woman was treated for an aortic aneurysm with a Dacron-Y-prosthesis. Four years later she developed GI bleeding lasting for five months before the diagnosis of an aorto-enteric fistula was made. The fistula was caused by a total disrupture of the proximal graft anastomosis with formation of a huge pseudoaneurysm involving both renal arteries. Treatment included fistula closure, insertion of a new Dacron graft and bilateral renal autotransplantation with complete recovery.
D001012:Aorta, Abdominal / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D005743:Gastrectomy / Q000009:adverse effects; D006801:Humans; D007583:Jejunum / Q000601:surgery; D016030:Kidney Transplantation; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D014182:Transplantation, Autologous