TREATMENT OF MASSIVE GASTROINTESTINAL HEMORRHAGE FROM AORTOENTERIC FISTULA

  • 1 January 1978
    • journal article
    • research article
    • Vol. 146  (1) , 59-62
Abstract
Massive hemorrhage of the upper part of the gastrointestinal tract presents a formidable crisis in surgical management. The preoperative diagnosis should be suspected in patients with a vascular prosthesis or primary abdominal aortic aneurysm. The characteristic signs and symptoms represent the triad of a pulsatile mass in the upper part of the abdomen, intermittent hemorrhage in the upper part of the gastrointestinal tract and severe eqigastralgia not relieved by antacids. No ideal operative technique has evolved for correcting the abnormal physiopathologic condition. Experience with 3 patients highlighted the problems of unremitting sepsis and recurrent fistulization.

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