Primary aortoenteric fistula related to septic aortitis.
Sao Paulo Med J
; 119(4): 150-3, 2001 Jul 05.
Article
in En
| MEDLINE
| ID: mdl-11500790
ABSTRACT
CONTEXT Primary aortoenteric fistulas usually result from erosion of the bowel wall due to an associated abdominal aortic aneurysm. A few patients have been described with other etiologies such as pseudoaneurysm originating from septic aortitis caused by Salmonella. OBJECTIVE:
To present a rare clinical case of pseudoaneurysm caused by septic aortitis that evolved into an aortoenteric fistula. CASE REPORT A 65-year-old woman was admitted with Salmonella bacteremia that evolved to septic aortitis. An aortic pseudoaneurysm secondary to the aortitis had eroded the transition between duodenum and jejunum, and an aortoenteric fistula was formed. In the operating room, the affected aorta and intestinal area were excised and an intestine-to-intestine anastomosis was performed. The aorta was sutured and an axillofemoral bypass was carried out. In the intensive care unit, the patient had a cardiac arrest that evolved to death.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Aortic Diseases
/
Aortitis
/
Vascular Fistula
/
Aneurysm, False
/
Sepsis
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Aged
/
Female
/
Humans
Language:
En
Journal:
Sao Paulo Med J
Journal subject:
MEDICINA
Year:
2001
Document type:
Article
Affiliation country:
Brazil