AORTO-ENTERIC FISTULAS - SPONTANEOUS AND AFTER AORTO-ILIAC OPERATIONS

  • 1 January 1984
    • journal article
    • research article
    • Vol. 25  (5) , 420-426
Abstract
Ten cases of arterio-enteric [AE] fistula are presented, 3 spontaneous and 7 following surgery on the aorta. In the majority of cases herald bleeding allows enough time to study the patient. Spontaneous fistulae are very rare and their diagnosis can be very difficult if the aneurysm is not palpable. In any case of gastrointestinal hemorrhage in a patient who has undergone an aortic operation an A-E fistula will be suspect. The only useful diagnostic procedure is gastroduodenoscopy which usually does not show any organic cause for the bleeding. Arteriography seems only a dangerous waste of time: emergency explorative laparotomy, if a fistula is suspected, is surely harmless and preferable. The only sure surgical technique consists in removal of the prosthesis followed by an extraanatomic by-pass.

This publication has 0 references indexed in Scilit: