[A double aorto-enteric fistula secondary to an aortic pseudoaneurysm. Its anatomical correction]. / Doble fístula aorto-entérica secundaria a pseudoaneurisma aórtico. Corrección anatómica.

A very rare case of double fistula aorto-enteric jejunal and ileal, draining to an aortic pseudoaneurysm, is presented. There were not evidence of sepsis, and by this reason pseudoaneurysm and prosthesis were removed, a new prosthesis was inserted by reconstruction "in situ", and intestinal fistulas were closed. The short- and large-term postoperatory was satisfactory. A review about possible mechanisms implicated in a fistula, diagnosis and therapeutic alternatives was made.

[Results of the treatment of diabetic patients who required emergency surgery for infection or ischemia]. / Resultados del tratamiento en pacientes diabéticos que precisaron cirugía urgente por infección o isquemia.

An extensive summary on the results of treatment of diabetic patients with necessity of urgent treatment for ischemic or infectious complications is presented. Such frequent events often need an active treatment for infection, followed in some cases by a large debridement or minor amputations. Adequate treatment may avoid a major amputation. Revascularization surgery may play a opportune role and it depends on clinical criterion.