Primary aortoappendiceal fistula: case report and review of the literature.
We report a case of primary aortoappendiceal fistula in a patient with chronic, relapsing abdominal symptoms and acute lower gastrointestinal hemorrhage. The diagnosis was evident with abdominal computed tomographic scan results. The patient's condition was successfully managed with appendectomy, abdominal aortic aneurysm resection, and extra-anatomic bypass grafting. Review of the literature revealed this to be the first report of a true aortoappendiceal fistula.
Monaghan
Kathleen
K
Department of General and Vascular Surgery, Gundersen Lutheran Medical Center, 1836 South Avenue, La Crosse, WI 54601, USA.
Cogbill
Thomas H
TH
D000368:Aged; D001018:Aortic Diseases / Q000150:complications* / Q000601:surgery; D001065:Appendix; D002429:Cecal Diseases / Q000150:complications* / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications* / Q000601:surgery; D008297:Male; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000150:complications* / Q000601:surgery