[Endovascular repair of primary aortoenteric fistula].
Aortoenteric fistulas are a rare, but often fatal cause of gastrointestinal bleeding. This report describes the use of endovascular aneurysmal repair (EVAR) for the initial treatment of gastrointestinal bleeding possibly related to an aortoenteric fistula. A 69-year-old man with an abdominal aortic aneurysm was admitted to our hospital because of melena. He initially underwent EVAR. Upper and lower endoscopic examination failed to detect a bleeding site. Twenty-five days later, a fever of 38 degrees C developed, and endograft infection was diagnosed. The patient underwent an extra-anatomic bypass and total endograft explantation. He remains well 9 months after EVAR
Masuda
Mikio
M
Department of Vascular Surgery, Shizuoka Red Cross Hospital, Shizuoka, Japan.
Mitsuoka
Hiroshi
H
Shintani
Tsunehiro
T
Nakao
Yoshinaga
Y
Higashi
Shigeki
S
D000368:Aged; D001018:Aortic Diseases / Q000601:surgery*; D004378:Duodenal Diseases / Q000601:surgery*; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery*; D008297:Male; D012086:Reoperation; D016157:Vascular Fistula / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods