Primary aortoenteric fistula: Report of eight new cases and review of the literature

ISSN:
1615-5947
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Primary aortoenteric fistula, a direct communication between the aorta and the intestinal tract, is a rare cause of gastrointestinal hemorrhage. Eight patients who were all treated at one hospital are described, followed by a review of all surgically treated patients reported within the past 10 years. The usual cause is erosion of an atherosclerotic aneurysm into the adherent duodenum, but a wide variety of other causes and localizations have been described. The clinical presentation is usually one of intermittent gastrointestinal hemorrhage resulting in lethal exsanguination within a matter of hours or days. Pain, a pulsatile abdominal mass, or fever may or may not be present. Endoscopy, arteriography, ultrasound, and CT scan can be useful in the evaluation of these patients, but physical examination and a high index of suspicion remain key to diagnosis. Primary aortoenteric fistula is more often discovered unexpectedly during exploratory laparotomy and is not usually considered as a presumptive preoperative diagnosis. Although contamination is unavoidable, most patients are treated with an in situ vascular graft and primary closure of the intestinal defect with good results.
Type of Medium:
Electronic Resource
URL:
_version_ 1798297348171890689
autor Voorhoeve, R.
Moll, F. L.
Letter, J. A. M.
Bast, T. J.
Wester, J. P. J.
Slee, P. HTh J.
autorsonst Voorhoeve, R.
Moll, F. L.
Letter, J. A. M.
Bast, T. J.
Wester, J. P. J.
Slee, P. HTh J.
book_url http://dx.doi.org/10.1007/BF02002340
datenlieferant nat_lic_papers
hauptsatz hsatz_simple
identnr NLM207465762
issn 1615-5947
journal_name Annals of vascular surgery
materialart 1
notes Abstract Primary aortoenteric fistula, a direct communication between the aorta and the intestinal tract, is a rare cause of gastrointestinal hemorrhage. Eight patients who were all treated at one hospital are described, followed by a review of all surgically treated patients reported within the past 10 years. The usual cause is erosion of an atherosclerotic aneurysm into the adherent duodenum, but a wide variety of other causes and localizations have been described. The clinical presentation is usually one of intermittent gastrointestinal hemorrhage resulting in lethal exsanguination within a matter of hours or days. Pain, a pulsatile abdominal mass, or fever may or may not be present. Endoscopy, arteriography, ultrasound, and CT scan can be useful in the evaluation of these patients, but physical examination and a high index of suspicion remain key to diagnosis. Primary aortoenteric fistula is more often discovered unexpectedly during exploratory laparotomy and is not usually considered as a presumptive preoperative diagnosis. Although contamination is unavoidable, most patients are treated with an in situ vascular graft and primary closure of the intestinal defect with good results.
package_name Springer
publikationsjahr_anzeige 1996
publikationsjahr_facette 1996
publikationsjahr_intervall 8004:1995-1999
publikationsjahr_sort 1996
publisher Springer
reference 10 (1996), S. 40-48
search_space articles
shingle_author_1 Voorhoeve, R.
Moll, F. L.
Letter, J. A. M.
Bast, T. J.
Wester, J. P. J.
Slee, P. HTh J.
shingle_author_2 Voorhoeve, R.
Moll, F. L.
Letter, J. A. M.
Bast, T. J.
Wester, J. P. J.
Slee, P. HTh J.
shingle_author_3 Voorhoeve, R.
Moll, F. L.
Letter, J. A. M.
Bast, T. J.
Wester, J. P. J.
Slee, P. HTh J.
shingle_author_4 Voorhoeve, R.
Moll, F. L.
Letter, J. A. M.
Bast, T. J.
Wester, J. P. J.
Slee, P. HTh J.
shingle_catch_all_1 Voorhoeve, R.
Moll, F. L.
Letter, J. A. M.
Bast, T. J.
Wester, J. P. J.
Slee, P. HTh J.
Primary aortoenteric fistula: Report of eight new cases and review of the literature
Abstract Primary aortoenteric fistula, a direct communication between the aorta and the intestinal tract, is a rare cause of gastrointestinal hemorrhage. Eight patients who were all treated at one hospital are described, followed by a review of all surgically treated patients reported within the past 10 years. The usual cause is erosion of an atherosclerotic aneurysm into the adherent duodenum, but a wide variety of other causes and localizations have been described. The clinical presentation is usually one of intermittent gastrointestinal hemorrhage resulting in lethal exsanguination within a matter of hours or days. Pain, a pulsatile abdominal mass, or fever may or may not be present. Endoscopy, arteriography, ultrasound, and CT scan can be useful in the evaluation of these patients, but physical examination and a high index of suspicion remain key to diagnosis. Primary aortoenteric fistula is more often discovered unexpectedly during exploratory laparotomy and is not usually considered as a presumptive preoperative diagnosis. Although contamination is unavoidable, most patients are treated with an in situ vascular graft and primary closure of the intestinal defect with good results.
1615-5947
16155947
Springer
shingle_catch_all_2 Voorhoeve, R.
Moll, F. L.
Letter, J. A. M.
Bast, T. J.
Wester, J. P. J.
Slee, P. HTh J.
Primary aortoenteric fistula: Report of eight new cases and review of the literature
Abstract Primary aortoenteric fistula, a direct communication between the aorta and the intestinal tract, is a rare cause of gastrointestinal hemorrhage. Eight patients who were all treated at one hospital are described, followed by a review of all surgically treated patients reported within the past 10 years. The usual cause is erosion of an atherosclerotic aneurysm into the adherent duodenum, but a wide variety of other causes and localizations have been described. The clinical presentation is usually one of intermittent gastrointestinal hemorrhage resulting in lethal exsanguination within a matter of hours or days. Pain, a pulsatile abdominal mass, or fever may or may not be present. Endoscopy, arteriography, ultrasound, and CT scan can be useful in the evaluation of these patients, but physical examination and a high index of suspicion remain key to diagnosis. Primary aortoenteric fistula is more often discovered unexpectedly during exploratory laparotomy and is not usually considered as a presumptive preoperative diagnosis. Although contamination is unavoidable, most patients are treated with an in situ vascular graft and primary closure of the intestinal defect with good results.
1615-5947
16155947
Springer
shingle_catch_all_3 Voorhoeve, R.
Moll, F. L.
Letter, J. A. M.
Bast, T. J.
Wester, J. P. J.
Slee, P. HTh J.
Primary aortoenteric fistula: Report of eight new cases and review of the literature
Abstract Primary aortoenteric fistula, a direct communication between the aorta and the intestinal tract, is a rare cause of gastrointestinal hemorrhage. Eight patients who were all treated at one hospital are described, followed by a review of all surgically treated patients reported within the past 10 years. The usual cause is erosion of an atherosclerotic aneurysm into the adherent duodenum, but a wide variety of other causes and localizations have been described. The clinical presentation is usually one of intermittent gastrointestinal hemorrhage resulting in lethal exsanguination within a matter of hours or days. Pain, a pulsatile abdominal mass, or fever may or may not be present. Endoscopy, arteriography, ultrasound, and CT scan can be useful in the evaluation of these patients, but physical examination and a high index of suspicion remain key to diagnosis. Primary aortoenteric fistula is more often discovered unexpectedly during exploratory laparotomy and is not usually considered as a presumptive preoperative diagnosis. Although contamination is unavoidable, most patients are treated with an in situ vascular graft and primary closure of the intestinal defect with good results.
1615-5947
16155947
Springer
shingle_catch_all_4 Voorhoeve, R.
Moll, F. L.
Letter, J. A. M.
Bast, T. J.
Wester, J. P. J.
Slee, P. HTh J.
Primary aortoenteric fistula: Report of eight new cases and review of the literature
Abstract Primary aortoenteric fistula, a direct communication between the aorta and the intestinal tract, is a rare cause of gastrointestinal hemorrhage. Eight patients who were all treated at one hospital are described, followed by a review of all surgically treated patients reported within the past 10 years. The usual cause is erosion of an atherosclerotic aneurysm into the adherent duodenum, but a wide variety of other causes and localizations have been described. The clinical presentation is usually one of intermittent gastrointestinal hemorrhage resulting in lethal exsanguination within a matter of hours or days. Pain, a pulsatile abdominal mass, or fever may or may not be present. Endoscopy, arteriography, ultrasound, and CT scan can be useful in the evaluation of these patients, but physical examination and a high index of suspicion remain key to diagnosis. Primary aortoenteric fistula is more often discovered unexpectedly during exploratory laparotomy and is not usually considered as a presumptive preoperative diagnosis. Although contamination is unavoidable, most patients are treated with an in situ vascular graft and primary closure of the intestinal defect with good results.
1615-5947
16155947
Springer
shingle_title_1 Primary aortoenteric fistula: Report of eight new cases and review of the literature
shingle_title_2 Primary aortoenteric fistula: Report of eight new cases and review of the literature
shingle_title_3 Primary aortoenteric fistula: Report of eight new cases and review of the literature
shingle_title_4 Primary aortoenteric fistula: Report of eight new cases and review of the literature
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source_archive Springer Online Journal Archives 1860-2000
timestamp 2024-05-06T10:06:33.961Z
titel Primary aortoenteric fistula: Report of eight new cases and review of the literature
titel_suche Primary aortoenteric fistula: Report of eight new cases and review of the literature
topic WW-YZ
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