Primary aortoenteric fistula due to a swallowed twig in a three-year-old child.
Aortoenteric fistulae are infrequent causes of gastrointestinal bleeding and usually occur as a late complication of aortic aneurysm repair. Primary aortoenteric fistulae are very rare and most have an aetiological association with atherosclerotic aneurysmal disease.(1,2) We report a primary aortoenteric fistula (PAEF) occurring in a 3 year old as a result of duodenal perforation after ingestion of a twig. To our knowledge this is the first case of a primary aortoenteric fistula reported in a child. Emergency aortic surgery in children needs certain considerations which are briefly discussed.
Kappadath
S K
SK
Northern Vascular Centre, Freeman Hospital, Freeman Road, High Heaton, Newcastle-upon-Tyne NE7 7DN, United Kingdom. skappadath@nhs.net
Clarke
M J
MJ
Stormer
E
E
Steven
L
L
Jaffray
B
B
D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005547:Foreign Bodies / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014934:Wood