Abstract
We report a patient with life-threatening gastrointestinal bleeding caused by a secondary aorto-enteric fistula. Because the patient had several comorbid conditions, we succesfully stopped the bleeding by endovascular placement of a bifurcated aortic stent-graft. The patient developed periaortic infection 4 months later, but he was managed with antibiotics. The patient is well 1 year after the procedure.
MeSH terms
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Aged, 80 and over
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Anastomosis, Surgical / adverse effects
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Anti-Bacterial Agents / therapeutic use
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Aortic Aneurysm, Abdominal / surgery*
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Aortic Diseases / complications
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Aortic Diseases / diagnostic imaging
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Aortic Diseases / etiology
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Aortic Diseases / surgery*
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Blood Vessel Prosthesis
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Blood Vessel Prosthesis Implantation / adverse effects*
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Duodenal Diseases / complications
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Duodenal Diseases / diagnostic imaging
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Duodenal Diseases / etiology
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Duodenal Diseases / surgery*
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Gastrointestinal Hemorrhage / diagnostic imaging
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Gastrointestinal Hemorrhage / etiology*
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Gastrointestinal Hemorrhage / surgery
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Humans
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Intestinal Fistula / complications
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Intestinal Fistula / diagnostic imaging
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Intestinal Fistula / etiology
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Intestinal Fistula / surgery*
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Male
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Minimally Invasive Surgical Procedures
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Prosthesis Design
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Stents
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Surgical Wound Infection / drug therapy
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Surgical Wound Infection / etiology
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Tomography, X-Ray Computed
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Treatment Outcome
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Vascular Fistula / complications
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Vascular Fistula / diagnostic imaging
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Vascular Fistula / etiology
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Vascular Fistula / surgery*