Primary aortoappendicular fistula arising from an infected, chronic, contained, ruptured abdominal aortic aneurysm.
Gastrointestinal bleeding can be caused by a variety of pathologies. Primary aortoappendicular fistula is rare and, in our case, arose in addition to a chronic contained rupture sac of an abdominal aortic aneurysm. Clinical diagnosis is difficult. Aortic aneurysmorrhaphy along with extensive debridement and emphasis on antibiotic therapy is curative.
Keripe
S
S
Pennine Acute Vascular Unit, Royal Oldham Hospital, Oldham, Manchester, UK.
Slavik
S
S
Oshodi
T
T
D000785:Aneurysm, Infected / Q000150:complications* / Q000382:microbiology / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000382:microbiology / Q000601:surgery; D001018:Aortic Diseases / Q000209:etiology* / Q000601:surgery; D001019:Aortic Rupture / Q000150:complications* / Q000382:microbiology / Q000601:surgery; D001062:Appendectomy; D001065:Appendix / Q000382:microbiology / Q000601:surgery; D002429:Cecal Diseases / Q000209:etiology / Q000601:surgery; D002908:Chronic Disease; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000209:etiology* / Q000601:surgery; D014656:Vascular Surgical Procedures