Abstract

We report a case of a patient with a double-primary aortoenteric fistula with an abdominal aortic aneurysm. A 75-year-old man was taken to the operating room for the repair of an abdominal aortic aneurysm and a suspected aortoenteric fistula between the aorta and sigmoid colon. Sudden onset of massive bleeding through the nasogastric tube occurred after the induction of anesthesia. Surgical exploration confirmed an unexpected aortoduodenal fistula. Primary aortoenteric fistula is extremely rare and difficult to diagnose, and may cause fatal bleeding. The possibility of the presence of aortoenteric fistula, including multiple types, should be considered in the anesthetic management of abdominal aortic aneurysm.

Links

Publisher Full Text

Authors

Hong JM, Kim HK, Kim ES, Kim HY, Kim NW, Yoon JY

Institution

Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, 1-10 Ami-dong, Seo-gu, Busan, 602-739, Korea.

Source

Journal of anesthesia 26:6 2012 Dec pg 910-3

MeSH

Aged
Anesthesia
Aorta, Abdominal
Aortic Aneurysm, Abdominal
Aortic Diseases
Duodenal Diseases
Humans
Intestinal Fistula
Intraoperative Complications
Male
Patient Care Planning
Sigmoid Diseases
Tomography, X-Ray Computed
Vascular Fistula

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22797902