Cytomegalovirus Infection-related Spontaneous Intestinal Perforation and Aorto-enteric Fistula after Abdominal Aortic Aneurysmal Repair / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 62-67, 2010.
Article
in Ko
| WPRIM
| ID: wpr-138049
Responsible library:
WPRO
ABSTRACT
Gastrointestinal complications (GI) after thoracoabdominal aortic repair can be classified as biliary disease, heptic dysfunction, pancreatitis, GI bleeding, peptic ulcer disease, bowel ischemia, paralytic ileus, and aortoenteric fistula. Theses complications are associated with high post operative morbidity and mortality. Most of the aortoenteric fistulae after thoracoabdominal aortic surgery are found at the duodenum, near the surgical site. These rare complications are caused by an indirect communication with abdominal aorta that originated from an aneursymal formation ruptured into the duodenum. Such aorto-duodenal fistula formation is considered as a result of inflammatory change from secondary infection near the surgical instruments. Herein, we report two cases of massive upper GI bleeding from aorto-duodenal fistulae and spontaneous lower GI perforation related to cytomegalovirus infection after abdominal aortic aneurysmal repair operations.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Aorta, Abdominal
/
Aortic Diseases
/
Endoscopy, Gastrointestinal
/
Vascular Fistula
/
Intestinal Fistula
/
Aortic Aneurysm, Abdominal
/
Cytomegalovirus Infections
/
Gastrointestinal Hemorrhage
/
Intestinal Perforation
Limits:
Aged
/
Aged80
/
Humans
/
Male
Language:
Ko
Journal:
The Korean Journal of Gastroenterology
Year:
2010
Type:
Article