RARE COMPLICATION OF RUPTURED ABDOMINAL AORTIC ANEURYSM PRESENTED IN EMERGENCY

Authors

  • C. VELICESCU “Sf. Spiridon” County Clinical Emergency Hospital, Iasi, Romania
  • Paula Alexandra TELEMAN “Sf. Spiridon” County Clinical Emergency Hospital, Iasi, Romania
  • Andrada-Ioana VIȚALARIU “Sf. Spiridon” County Clinical Emergency Hospital, Iasi, Romania
  • Cristina STROBESCU-CIOBANU “Sf. Spiridon” County Clinical Emergency Hospital, Iasi, Romania
  • I. CAZAN “Sf. Spiridon” County Clinical Emergency Hospital, Iasi, Romania
  • Livia Genoveva BAROI “Sf. Spiridon” County Clinical Emergency Hospital, Iasi, Romania

Abstract

Aorto-enteric fistula (AEF) is defined as an abnormal communication between the aorta or aortoiliac tree with the gastrointestinal tract and presents as catastrophic gastrointestinal bleeding.  The reported annual incidence of primary aorto-enteric fistula is 0.007 per million (only 250 cases reported in literature). Due to the risk of progression to hemorrhagic shock and the high likelihood of surgical intervention, these patients should be closely monitored. Materials and methods: This paper includes 35 consecutive patients with ruptured abdominal aortic aneurysm admitted to the Department of Vascular Surgery of the “Sf. Spiridon” County Clinical Emergency Hospital, between 2020 and 2024. Results: From the total of 35 patients 3 cases were complicated with primary aorto-digestive fistula (8,57%). 2 of the cases had aorto-duodenal fistula and 1 case had aorto-enteric fistula. Conclusions: Complicated abdominal aortic aneurysm with primary aorto-enteric fistula is a rare pathology that requires prompt diagnosis and urgent surgical treatment.

Author Biographies

  • C. VELICESCU, “Sf. Spiridon” County Clinical Emergency Hospital, Iasi, Romania

    Department of Surgery
    “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania
    Faculty of Medicine

  • Paula Alexandra TELEMAN, “Sf. Spiridon” County Clinical Emergency Hospital, Iasi, Romania

    Department of Surgery

  • Andrada-Ioana VIȚALARIU, “Sf. Spiridon” County Clinical Emergency Hospital, Iasi, Romania

    Department of Surgery

  • Cristina STROBESCU-CIOBANU, “Sf. Spiridon” County Clinical Emergency Hospital, Iasi, Romania

    Department of Vascular Surgery
    “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania
    Faculty of Medicine

  • I. CAZAN, “Sf. Spiridon” County Clinical Emergency Hospital, Iasi, Romania

    Department of Vascular Surgery

  • Livia Genoveva BAROI, “Sf. Spiridon” County Clinical Emergency Hospital, Iasi, Romania

    Department of Vascular Surgery
    “Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania
    Faculty of Medicine

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Additional Files

Published

2024-09-18

Issue

Vol. 128 No. 3 (2024): The Medical-Surgical Journal

Section

SURGERY

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