[Cytomegalovirus infection-related spontaneous intestinal perforation and aorto-enteric fistula after abdominal aortic aneurysmal repair].
Gastrointestinal complications (GI) after thoracoabdominal aortic repair can be classified as biliary disease, heptic dysfunction, pancreatitis, GI bleeding, peptic ulcer disease, bowel ischemia, paralytic ileus, and aortoenteric fistula. Theses complications are associated with high post operative morbidity and mortality. Most of the aortoenteric fistulae after thoracoabdominal aortic surgery are found at the duodenum, near the surgical site. These rare complications are caused by an indirect communication with abdominal aorta that originated from an aneursymal formation ruptured into the duodenum. Such aorto-duodenal fistula formation is considered as a result of inflammatory change from secondary infection near the surgical instruments. Herein, we report two cases of massive upper GI bleeding from aorto-duodenal fistulae and spontaneous lower GI perforation related to cytomegalovirus infection after abdominal aortic aneurysmal repair operations.
Ahn
Su Young
SY
Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.
Lee
Sun Young
SY
Kim
Bum Sung
BS
Rhee
Kyoung Hoon
KH
Kim
Jeong Hwan
JH
Sung
In Kyung
IK
Park
Hyung Seok
HS
Jin
Choon Jo
CJ
D000368:Aged; D000369:Aged, 80 and over; D001012:Aorta, Abdominal / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000601:surgery*; D001018:Aortic Diseases / Q000175:diagnosis* / Q000601:surgery / Q000821:virology; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D016099:Endoscopy, Gastrointestinal; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis* / Q000601:surgery / Q000821:virology; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000821:virology; D008297:Male; D016157:Vascular Fistula / Q000175:diagnosis* / Q000601:surgery / Q000821:virology