Recurrent aortoenteric fistula: case report and review.
Aortoenteric fistulas (AEFs) are abnormal communications between the aorta and the bowel most frequently resulting from prosthetic graft erosion. Despite advances in surgery and medical technology, these entities are still associated with significant morbidity and mortality for the patient. Multiple case reports and reviews have attempted to elucidate the nature of AEFs in an effort to better characterize and manage these entities. However, reports of recurrence of this process are extremely rare. In this article, we describe a unique case of recurrence of an AEF that was successfully managed with primary aortic oversew and bowel resection. We will also review the literature on AEFs with a comprehensive overview on background, presentation, diagnosis, and current management options.
Goshtasby
Parviz
P
Department of Surgery, Wellspan Health at York Hospital, 1001 South George Street, York, PA 17405, USA. parvizmd@hotmail.com
Henriksen
Daniel
D
Lynd
Clifford
C
Fielding
L Peter
LP
D000368:Aged; D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000601:surgery*; D004378:Duodenal Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery*; D012008:Recurrence; D016157:Vascular Fistula / Q000601:surgery*