Aortoenteric fistula explained

Aortoenteric fistula

An aortoenteric fistula is a connection between the aorta and the intestines, stomach, or esophageus.[1] There can be significant blood loss into the intestines resulting in bloody stool and death.[1] It is usually secondary to an abdominal aortic aneurysm repair. The third or fourth portion of the duodenum is the most common site for aortoenteric fistulas, followed by the jejunum and ileum.__TOC__

Diagnosis

Diagnosis is typically via a CT angiography, esophagogastroduodenoscopy, or arteriography.[1] It is part of the differential diagnosis of gastrointestinal bleeding.[2]

Notes and References

  1. Xiromeritis. K. Dalainas, I. Stamatakos, M. Filis, K. Aortoenteric fistulae: present-day management.. International Surgery. Jul–Sep 2011. 96. 3. 266–73. 10.9738/0020-8868-96.3.266. 22216707.
  2. Acosta. RD. Wong, RK. Differential diagnosis of upper gastrointestinal bleeding proximal to the ligament of Trietz.. Gastrointestinal Endoscopy Clinics of North America. Oct 2011. 21. 4. 555–66. 21944410. 10.1016/j.giec.2011.07.014.