Aneurisma de aorta abdominal roto al duodeno: causa infrecuente de hemorragia digestiva masiva

Primary aortoenteric fistula is the spontaneous communication between the lumen of the aorta and a portion of the digestive tract. The most common cause is the erosion of an abdominal aortic aneurysm into the 3rd or 4th portion of the duodenum. It manifests clinically as gastrointestinal bleeding, w...

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Autores principales:	Marine,Leopoldo, Mertens,Renato, Torrealba,Ignacio, Valdés,Francisco, Bergoeing,Michel, Vargas,Francisco, Yáñez,Hugo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2021
Materias:	Gastrointestinal Hemorrhage Aortic Aneurysm Digestive System Fistula
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000100132
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spelling	oai:scielo:S0034-988720210001001322021-05-09Aneurisma de aorta abdominal roto al duodeno: causa infrecuente de hemorragia digestiva masivaMarine,LeopoldoMertens,RenatoTorrealba,IgnacioValdés,FranciscoBergoeing,MichelVargas,FranciscoYáñez,Hugo Gastrointestinal Hemorrhage Aortic Aneurysm Digestive System Fistula Primary aortoenteric fistula is the spontaneous communication between the lumen of the aorta and a portion of the digestive tract. The most common cause is the erosion of an abdominal aortic aneurysm into the 3rd or 4th portion of the duodenum. It manifests clinically as gastrointestinal bleeding, with or without abdominal pain and a pulsatile abdominal mass on physical exam. Gastrointestinal bleeding is initially recurrent and self-limiting and progresses to fatal exsanguinating hemorrhage. Endoscopic examination diagnoses only 25% of aortoenteric fistulas because these are usually located in the distal duodenum. Contrast computed tomography of the abdomen and pelvis is diagnostic in only 60% of cases. We report three cases with this condition. A 67-year-old male presenting with an upper gastrointestinal bleeding. He was operated and a communication between an aortic aneurysm and the duodenum was found and surgically repaired. The patient is well. A 67-year-old male with an abdominal aortic aneurysm presenting with abdominal pain. He was operated and anticoagulated. In the postoperative period he had a massive gastrointestinal bleeding and a new CAT scan revealed an aorto enteric fistula that was surgically repaired. The patient is well. An 82-year-old male with an abdominal aortic aneurysm presenting with hematochezia. A CAT scan revealed a communication between the aneurysm and the third portion of the duodenum, that was surgically repaired. The patient died in the eighth postoperative day.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.149 n.1 20212021-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000100132es10.4067/S0034-98872021000100132
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Gastrointestinal Hemorrhage Aortic Aneurysm Digestive System Fistula
spellingShingle	Gastrointestinal Hemorrhage Aortic Aneurysm Digestive System Fistula Marine,Leopoldo Mertens,Renato Torrealba,Ignacio Valdés,Francisco Bergoeing,Michel Vargas,Francisco Yáñez,Hugo Aneurisma de aorta abdominal roto al duodeno: causa infrecuente de hemorragia digestiva masiva
description	Primary aortoenteric fistula is the spontaneous communication between the lumen of the aorta and a portion of the digestive tract. The most common cause is the erosion of an abdominal aortic aneurysm into the 3rd or 4th portion of the duodenum. It manifests clinically as gastrointestinal bleeding, with or without abdominal pain and a pulsatile abdominal mass on physical exam. Gastrointestinal bleeding is initially recurrent and self-limiting and progresses to fatal exsanguinating hemorrhage. Endoscopic examination diagnoses only 25% of aortoenteric fistulas because these are usually located in the distal duodenum. Contrast computed tomography of the abdomen and pelvis is diagnostic in only 60% of cases. We report three cases with this condition. A 67-year-old male presenting with an upper gastrointestinal bleeding. He was operated and a communication between an aortic aneurysm and the duodenum was found and surgically repaired. The patient is well. A 67-year-old male with an abdominal aortic aneurysm presenting with abdominal pain. He was operated and anticoagulated. In the postoperative period he had a massive gastrointestinal bleeding and a new CAT scan revealed an aorto enteric fistula that was surgically repaired. The patient is well. An 82-year-old male with an abdominal aortic aneurysm presenting with hematochezia. A CAT scan revealed a communication between the aneurysm and the third portion of the duodenum, that was surgically repaired. The patient died in the eighth postoperative day.
author	Marine,Leopoldo Mertens,Renato Torrealba,Ignacio Valdés,Francisco Bergoeing,Michel Vargas,Francisco Yáñez,Hugo
author_facet	Marine,Leopoldo Mertens,Renato Torrealba,Ignacio Valdés,Francisco Bergoeing,Michel Vargas,Francisco Yáñez,Hugo
author_sort	Marine,Leopoldo
title	Aneurisma de aorta abdominal roto al duodeno: causa infrecuente de hemorragia digestiva masiva
title_short	Aneurisma de aorta abdominal roto al duodeno: causa infrecuente de hemorragia digestiva masiva
title_full	Aneurisma de aorta abdominal roto al duodeno: causa infrecuente de hemorragia digestiva masiva
title_fullStr	Aneurisma de aorta abdominal roto al duodeno: causa infrecuente de hemorragia digestiva masiva
title_full_unstemmed	Aneurisma de aorta abdominal roto al duodeno: causa infrecuente de hemorragia digestiva masiva
title_sort	aneurisma de aorta abdominal roto al duodeno: causa infrecuente de hemorragia digestiva masiva
publisher	Sociedad Médica de Santiago
publishDate	2021
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000100132
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Aneurisma de aorta abdominal roto al duodeno: causa infrecuente de hemorragia digestiva masiva

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