Document Detail

Secondary arterio-enteric fistula: case report and review of the literature.
MedLine Citation:
PMID:  22920006     Owner:  NLM     Status:  In-Process    
Arterio-enteric fistula is a rare, but potentially deadly cause of gastrointestinal bleeding. The disease occurs in two forms: primary as a result of atherosclerotic aortic aneurysm, aortitis, trauma, radiation, tumor invasion or penetrating ulcer, and secondary as a consequence of surgical aortal reconstruction. The clinical manifestation is mostly gastrointestinal bleeding, rarely back pain, fever and sepsis. Computed tomography with contrast medium is the most suitable diagnostic test, however, the diagnosis frequently requires explorative laparotomy. A case is presented of secondary arterio-enteric fistula, found two years after surgical treatment of chronic pancreatitis with pseudocystojejunostomy, which clinically manifested with gastrointestinal bleeding. Although there was strong suspicion of arterio-enteric fistula, the diagnosis was not verified by routine workup, but only on explorative laparotomy.
Ivan Budimir; Marko Nikolić; Vladimir Supanc; Neven Ljubicić; Tomislav Krpan; Mario Zovak; Mateja Sabol
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta clinica Croatica     Volume:  51     ISSN:  0353-9466     ISO Abbreviation:  Acta Clin Croat     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-08-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9425483     Medline TA:  Acta Clin Croat     Country:  Croatia    
Other Details:
Languages:  eng     Pagination:  79-82     Citation Subset:  IM    
Department of Gastroenterology and Hepatology, University Department of Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia.
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