REVIEW PAPER
Secondary aortoenteric fistula: a narrative review of the view of the surgeon
1
Department of Surgery, General University Hospital of Patras, Patras, Greece
2
Department of Cardiothoracic and Vascular Surgery, WestpfalzKlinikum, Kaiserslautern, Germany
3
Department of Vascular Surgery, General University Hospital of Patras, Patras, Greece
4
Department of Interventional Radiology, General University Hospital of Patras, Patras, Greece
5
Health Centre of Akrata, Akrata, Greece
6
Department of Cardiothoracic Surgery, General University Hospital of Patras, Patras, Greece
Submission date: 2024-01-31
Final revision date: 2024-03-10
Acceptance date: 2024-03-21
Publication date: 2024-03-30
Arch Med Sci Atheroscler Dis 2024;9(1):66-71
KEYWORDS
TOPICS
ABSTRACT
Aortoenteric fistula (AEF) is defined as the abnormal communication between the aorta and the gastrointestinal tract. AEFs are divided into primary and secondary usually after abdominal aortic aneurysm (AAA) recovery and are a rare but quite dangerous cause of gastrointestinal bleeding that the general surgeon may face during his/her career. Secondary AEF was first described in 1953 to a 44-year-old woman 3 months after an AAA operation. This review presents the role of the surgeon in the management of secondary aortoenteric fistulas. AEFs are a rare but fatal gastrointestinal bleeding cause that the general surgeon may be asked to manage. Diagnosis requires the combination of strong clinical suspicion and the presence of a history of AAA surgery. Although a vascular surgery case, general surgeons play a role in choosing the technique of restoring the intestinal tract, which seems to be significantly related to subsequent morbidity and mortality.
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| ISSN: | 2451-0629 |
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