Surgical approach to recurrent secondary aortoenteric fistulas: A case report Tekrarlayan sekonder aortoenterik fistüllerde cerrahi yaklaşım: Olgu sunumu

Zarbaliyev E., Konukoğlu O., Çağlıkülekçi M., Mansuroğlu D., Baş S., Kilercik H.

Turkish Journal of Thoracic and Cardiovascular Surgery, cilt.29, sa.3, ss.399-403, 2021 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 29 Sayı: 3
  • Basım Tarihi: 2021
  • Doi Numarası: 10.5606/tgkdc.dergisi.2021.21518
  • Dergi Adı: Turkish Journal of Thoracic and Cardiovascular Surgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier
  • Sayfa Sayıları: ss.399-403
  • Anahtar Kelimeler: Ekstra anatomik rekonstrüksiyon, Extra-anatomic reconstruction, graft-duodenal fistula, graft-jejunal fistula, greft-duodenal fistül, greft-jejunal fistül, recurrent graft enteric fistula, secondary aortoenteric fistula, sekonder aortoenterik fistül, tekrarlayan greft enterik fistül
  • İstanbul Yeni Yüzyıl Üniversitesi Adresli: Evet

Özet

The increasing number of abdominal aortic grafts due to abdominal aortic aneurysms has caused secondary aortoenteric fistulas to be seen more frequently as a cause of gastrointestinal bleeding. High index of suspicion plays a significant role in the diagnosis in patients having clinical symptoms ranging from fecal occult blood to massive gastrointestinal bleeding, accompanied by hemorrhagic shock. A 65-year-old male patient developed two secondary aortoenteric fistulas consecutively. The first one was aortic graft-jejunal and the second one was aortic graft-duodenal in a short period. Secondary aortoenteric fistula developed after aortobifemoral bypass. The patient underwent graft revision and jejunal repair. He was reoperated three months later due to the newly developed aortic graft-duodenal fistula. The duodenal defect was closed, and an extra-anatomic aortoiliac bypass was performed to avoid graft-related enteric fistula. The patient was discharged uneventfully and was free from any complication at nine months after surgery.