Aortoduodenal fistula

Endoscopic diagnosis

Abstract

Aortoduodenal fistula has been reported as a complication in up to 4% of aortic aneurysm repairs, presenting as gastrointestinal bleeding of varying severity. Mortality of patients not operated on approaches 100%, and preoperative diagnosis is extremely difficult. In this report five cases are described in which the diagnosis was established endoscopically, and the literature regarding the pathophysiology and natural history of this entity is reviewed.

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References

  1. 1.

    Dubost C, Allary M, Oeconomos N: Resection of an aneurysm of the abdominal aorta: Reestablishment of the continuity by a preserved human arterial graft, with result after five months. Arch Surg 64:405–408, 1952

    Google Scholar 

  2. 2.

    Brock RC: Aortic homografting; report of 6 successful cases. Guy's Hosp Rept 102:204–228, 1953

    Google Scholar 

  3. 3.

    Mir-Madjlessi SH, Sullivan BH, Jr, Farmer RG, Beven EG: Endoscopic diagnosis of aortoduodenal fistula. Gastrointest Endosc 19:187–188, 1973

    Google Scholar 

  4. 4.

    Baker BH, Baker MS, van der Reis L, Fisher JH: Endoscopy in the diagnosis of aortoduodenal fistula. Gastrointest Endosc 24:35–37, 1977

    Google Scholar 

  5. 5.

    Reckless JPD, McColl I, Taylor GW: Aortoenteric fistulae: An uncommon complication of abdominal aortic aneurysms. Br J Surg 59:458–460, 1972

    Google Scholar 

  6. 6.

    Elliott JP, Jr, Smith RF, Szilagyl DE: Aortoenteric and paraprosthetic-enteric fistulas. Problems of diagnosis and management. Arch Surg 108:479–490, 1974

    Google Scholar 

  7. 7.

    Levy MJ, Todd TB, Lillehei CW, Varco RL: Aorticointestinal fistulas following surgery of the aorta. Surg Gynecol Obstet 120:992–996, 1965

    Google Scholar 

  8. 8.

    Humphries AW, Young JR, deWolfe VG, LeFevre FA: Complications of abdominal aortic surgery: I. Aortoenteric fistula. Arch Surg 86:43–50, 1963

    Google Scholar 

  9. 9.

    Pinkerton JA: Aortoduodenal fistula. JAMA 225:1196–1199, 1973

    Google Scholar 

  10. 10.

    Donovan TF, Bucknam CA: Aorto-enteric fistula. Arch Surg 95:810–820, 1967

    Google Scholar 

  11. 11.

    West JP, Lattes C, Knox WG: Anastomotic false aneurysms. Arch Surg 103:348–350, 1971

    Google Scholar 

  12. 12.

    Garrett HE, Beall AC, Jr, Jordan GL, Jr, DeBakey ME: Surgical considerations of massive gastrointestinal tract hemorhage caused by aortoduodenal fistula. Am J Surg 105:6–12, 1963

    Google Scholar 

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Correspondence to Dr. Michael V. Sivak Jr. MD.

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Brand, E.J., Sivak, M.V. & Sullivan, B.H. Aortoduodenal fistula. Digest Dis Sci 24, 940–944 (1979). https://doi.org/10.1007/BF01311950

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Keywords

  • Public Health
  • Natural History
  • Gastrointestinal Bleeding
  • Aortic Aneurysm
  • Preoperative Diagnosis