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Aortointestinal Fistula

The Experts below are selected from a list of 15 Experts worldwide ranked by ideXlab platform

Voboril Z – 1st expert on this subject based on the ideXlab platform

  • Bleeding from Aortointestinal Fistula
    Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti, 2006
    Co-Authors: Voboril Z

    Abstract:

    Aortointestinal Fistula is a patological communication between the aorta and the gut. Two groups of these Fistulas are described. The primary Fistulas originated as complications of aneurysma of the abdominal aorta and the secondary Fistulas as a consequence of reconstruction of the abdominal aorta or the iliac arteries.
    A case report of 69-year-old man operated for aneurysma of abdominal aorta with implanted aortal prosthesis is described. Four years after the surgery he complained for bleeding into the digestive tract. The only the small lesions of the stomach were found during endoscopy. A strong attack of bleeding which followed later recquired a laparotomy where aortoileal Fistula located in distal anastomosis between the aorta and the prosthesis was found. Despite of the intensive care patient died because of haemorhagic shock.
    Based on literature review and also based on the own experience author concludes that every patient with intraabodominal pulsating resistance, or with known diagnosis of the abdominal aorta aneurysma, or with aortal prosthesis who presents with features of the sepsis or bleeding into the digestive tract is suspicious from presence of Aortointestinal Fistula. The patient should be immediately examined by spiral CT with contrast and operated.

Gol'dina Im – 2nd expert on this subject based on the ideXlab platform

  • Radiation diagnosis of aortic aneurysmal ruptures with formation of anastomoses with the inferior cava and various organs
    Vestnik rentgenologii i radiologii, 2007
    Co-Authors: Prozorov Sa, Belozerov Ge, Sharifullin Fa, Mikhaĭlov Ip, Gol'dina Im

    Abstract:

    The results of radiation diagnostic techniques were analyzed in 29 patients with aortic aneurysmal ruptures with formation of aortic anastomoses. The examination and treatment of 362 patients with abdominal aortic aneurysmal ruptures revealed that 23 (6.35%) patients had anastomoses (aortocaval (n = 15), aortoduodenal (n = 6), aortogastric (n = 1), and aortoureteral (n = 1)). Six patients were observed to have secondary Aortointestinal anastomoses occurring after reconstructive vascular surgery. In one patient, abdominal aortic aneurysmal rupture first led to the formation of a primary aortoduodenal anastomosis and some time after surgery a secondary Aortointestinal Fistula emerged. One out of 113 patients with aortic dissecting aortic aneurysms had an aortopulmonary Fistula. Ultrasonography, computed tomography, and angiography were performed in 27, 19, and 14 patients, respectively. Radiation diagnostic techniques revealed Fistulas in 9 (31%) out of the 29 patients. The diagnosis of aortic anastomoses presents challenges.

Prozorov Sa – 3rd expert on this subject based on the ideXlab platform

  • Radiation diagnosis of aortic aneurysmal ruptures with formation of anastomoses with the inferior cava and various organs
    Vestnik rentgenologii i radiologii, 2007
    Co-Authors: Prozorov Sa, Belozerov Ge, Sharifullin Fa, Mikhaĭlov Ip, Gol'dina Im

    Abstract:

    The results of radiation diagnostic techniques were analyzed in 29 patients with aortic aneurysmal ruptures with formation of aortic anastomoses. The examination and treatment of 362 patients with abdominal aortic aneurysmal ruptures revealed that 23 (6.35%) patients had anastomoses (aortocaval (n = 15), aortoduodenal (n = 6), aortogastric (n = 1), and aortoureteral (n = 1)). Six patients were observed to have secondary Aortointestinal anastomoses occurring after reconstructive vascular surgery. In one patient, abdominal aortic aneurysmal rupture first led to the formation of a primary aortoduodenal anastomosis and some time after surgery a secondary Aortointestinal Fistula emerged. One out of 113 patients with aortic dissecting aortic aneurysms had an aortopulmonary Fistula. Ultrasonography, computed tomography, and angiography were performed in 27, 19, and 14 patients, respectively. Radiation diagnostic techniques revealed Fistulas in 9 (31%) out of the 29 patients. The diagnosis of aortic anastomoses presents challenges.