Tubercular aortitis presenting as primary aortoenteric fistula: Report of an uncommon case
Ajay Savlania,Vibhav Sharma,Pulkit Rastogi,Harjeet Singh,Vishal Sharma,Harshal S Mandavdhare +5 more
TLDR
A 78-year-old male who presented with upper gastrointestinal bleed and also had abdominal pain and pulsating abdominal mass and on evaluation was found to have tubercular AEF which was successfully repaired with surgery and the patient recovered with antitubercular therapy along with the surgery.Abstract:
Tubercular aortitis presenting as primary aortoenteric fistula (AEF) is a rare entity. We present a 78-year-old male who presented with upper gastrointestinal bleed and also had abdominal pain and pulsating abdominal mass and on evaluation was found to have tubercular AEF which was successfully repaired with surgery and the patient recovered with antitubercular therapy along with the surgery. This case highlights the importance of high index of suspicion with early institution of surgical repair along with antitubercular therapy for tubercular AEF with good results.read more
Citations
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Primary Aortoduodenal Fistula: A Case Report and Current Literature Review.
Christina Georgeades,Christina Georgeades,Rakel M. Zarb,Zoe Lake,Jacob C. Wood,Brian D. Lewis +5 more
TL;DR: In this article, the case of a 64-year-old male with a primary aortoduodenal fistula was presented, where the patient initially underwent an endovascular aneurysm repair at an outside institution before being transferred to a tertiary care center, where he ultimately had definitive management with an extra-anatomic bypass, aortic ligation, duodenAL resection with primary anastomosis, and gastrojejunostomy tube placement.
Journal ArticleDOI
Tuberculous Aortic Aneurysm - A Review
TL;DR: The case reports discussed in this review reflected open surgery, endovascular repair, coil embolization, laparotomy, aortic valve and root replacement as some of the surgical procedures used depending on the complication and type of aneurysm.
Journal ArticleDOI
Aortoenteric fistulas: Spectrum of MDCT findings
S. Nagrani Chellaram,E. Martínez Chamorro,S. Borruel Nacenta,L. Ibañez Sanz,A. Alcalá-Galiano +4 more
TL;DR: The types of aortoenteric fistulas and their clinical and pathophysiological correlation, as well as the diagnostic algorithm, are reviewed, illustrating the most characteristic findings on multidetector computed tomography.
Journal ArticleDOI
Fístula aortoentérica: Espectro de hallazgos en tomografía computarizada multidetector
S. Nagrani Chellaram,E. Martínez Chamorro,S. Borruel Nacenta,L. Ibañez Sanz,A. Alcalá-Galiano +4 more
TL;DR: En this articulo se revisan los tipos of FAE y su correlacion clinico-fisiopatologica, asi como el algoritmo diagnostico exponiendo los hallazgos radiologicos tipicos en tomografia computarizada.
References
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Diagnosis of aortoenteric fistulas with CT angiography.
Klaus D. Hagspiel,Ulku C. Turba,Ugur Bozlar,Nancy L. Harthun,Kenneth J. Cherry,Hossam Ahmed,Steven J. Bickston,John F. Angle +7 more
TL;DR: CT angiography is well suited for helping make or suggesting the diagnosis of AEF and is potentially more accurate than EGD.
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TL;DR: Endovascular repair is an efficient and safe method to stabilize patients with life-threatening bleeding arterioenteric fistulas in the emergent episode, however, in this group of patients with severe comorbidities, the risk of rebleeding is high and further intervention must be considered.