Endovascular treatment of a bleeding secondary aorto-enteric fistula. A case report with 1-year follow-up.
We report a patient with life-threatening gastrointestinal bleeding caused by a secondary aorto-enteric fistula. Because the patient had several comorbid conditions, we succesfully stopped the bleeding by endovascular placement of a bifurcated aortic stent-graft. The patient developed periaortic infection 4 months later, but he was managed with antibiotics. The patient is well 1 year after the procedure.
Brountzos
Elias N
EN
Second Department of Radiology, Athens University, Medical School, Attikon University Hospital, Athens, Greece. platanos@hol.gr
Vasdekis
Spyros
S
Kostopanagiotou
Georgia
G
Danias
Nikolaos
N
Alexopoulou
Efthymia
E
Petropoulou
Konstantina
K
Gouliamos
Athanasios
A
Perros
Georgios
G
D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000009:adverse effects; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001018:Aortic Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D004378:Duodenal Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D011474:Prosthesis Design; D015607:Stents; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*
D000900:Anti-Bacterial Agents