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Secondary Arterio-Enteric Fistula: Case Report and Review of the Literature

Ivan Budimir
Marko Nikolić
Vladimir Supanc
Neven Ljubičić
Tomislav Krpan
Mario Zovak
Mateja Sabol

Abstract

Arterio-enteric fistula is a rare, but potentially deadly cause of gastrointestinal bleeding. The disease occurs in two forms: primary as a result of atherosclerotic aortic aneurysm, aortitis, trauma, radiation, tumor invasion or penetrating ulcer, and secondary as a consequence of surgical aortal reconstruction. The clinical manifestation is mostly gastrointestinal bleeding, rarely back pain, fever and sepsis. Computed tomography with contrast medium is the most suitable diagnostic test, however, the diagnosis frequently requires explorative laparotomy. A case is presented of secondary arterio-enteric fistula, found two years after surgical treatment of chronic pancreatitis with pseudocystojejunostomy, which clinically manifested with gastrointestinal bleeding. Although there was strong suspicion of arterio-enteric fistula, the diagnosis was not verified by routine workup, but only on explorative laparotomy.

Keywords

Intestinal fistula; Gastrointestinal hemorrhage; Anemia

Hrčak ID:

85740

URI

https://hrcak.srce.hr/85740

Publication date:

30.3.2012.

Article data in other languages: croatian

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