Faecaloid breath heralding secondary aorto-enteric fistula.
A patient underwent simultaneous abdominal aortic prosthetic replacement and resection of a Meckel diverticulum. He then developed faecaloid breath. Later reoperation for aorto-enteric fistula cured halitosis. We conclude in retrospect that faecaloid breath may herald a secondary aorto-enteric fistula. A pathophysiological mechanism is suggested and discussed.
Mosimann
F
F
University Hospital (CHUV)-Lausanne, Switzerland, Department of Surgery.
D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001019:Aortic Rupture / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D001807:Blood Vessel Prosthesis; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005243:Feces; D005402:Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006209:Halitosis / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011475:Prosthesis Failure; D012086:Reoperation