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Acta Chirurgica Croatica, Vol. 17 No. 1, 2020.

Case report

https://doi.org/10.5281/zenodo.4010898

A patient with three aortoenteric fistulas in a period of five years: case report

Josip Figl orcid id orcid.org/0000-0001-6755-8656 ; Department of Surgery, University Hospital Center Zagreb, Zagreb, Croatia
Andrea Crkvenac Gregorek ; Department of Surgery, University Hospital Center Zagreb, Zagreb, Croatia
Predrag Pavić ; school of Medicine University of Zagreb, Department of Surgery, University Hospital Center Zagreb, Zagreb, Croatia
Irena Šnajdar ; Department of Surgery, University Hospital Center Zagreb, Zagreb, Croatia
Marko Mance ; Department of Surgery, University Hospital Center Zagreb, Zagreb, Croatia

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Abstract

Background: Aortoenteric fistula (AEF) is a pathological communication between the aorta and gastrointestinal tract that presents a life-threatening condition. It can be primary or secondary, based on the underlying cause of
fistula development.

Case study: We present a 67-year-old female patient who suffered from three secondary AEFs in a period of five years. After two abdominal surgeries for gastric ulcer and colorectal adenocarcinoma (TNM stage II), the patient had an open abdominal aortic aneurysm reconstruction. For each AEF presentation, opened surgical reconstruction was performed.

Conclusion: Morbidity and mortality rates after AEF surgery are high despite advances in surgical techniques and materials. Three times recurrent AEF in a single patient with 5-years survival after initial reconstructive surgery is rare event.

Keywords

aortoenteric fistula aortic surgery (AEF), aortic reconstruction complication, abdominal aortic aneurysm (AAA)

Hrčak ID:

245336

URI

https://hrcak.srce.hr/245336

Publication date:

4.10.2020.

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