Aortoenteric Fistula Causing Syncope and Gastrointestinal Bleeding

Aortoenteric fistula (AEF) is an uncommon and emergency clinical condition of intra-abdominal bleeding. Early diagnosis can be achieved by computed tomography and endoscopy exploration. Surgical reconstruction is an urgent and multidisciplinary treatment and is recommended after the surgical interve...

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Detalles Bibliográficos
Autores: Grasun, Aureliu, Alonso Valle, Héctor|||0000-0002-6070-8874, Andrés Gómez, María, Prieto Lastra, Luis, Garmilla Ezquerra, Pablo, Mateos Chaparro, Francisco Manuel, Odriozola Romillo, María Nuria, Grasun, Elena, Rubio Sánchez, Sergio, Iglesias Oliva, Luis, Seabrook Maggio, Patricio Alberto, Jauregui Solorzano, Ricardo
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Universidad de Cantabria (UC)
Repositorio:UCrea Repositorio Abierto de la Universidad de Cantabria
Idioma:inglés
OAI Identifier:oai:repositorio.unican.es:10902/16312
Acceso en línea:http://hdl.handle.net/10902/16312
Access Level:acceso abierto
Palabra clave:Aorto-Enteric Fistula
Syncope
Gastrointestinal Bleeding
Descripción
Sumario:Aortoenteric fistula (AEF) is an uncommon and emergency clinical condition of intra-abdominal bleeding. Early diagnosis can be achieved by computed tomography and endoscopy exploration. Surgical reconstruction is an urgent and multidisciplinary treatment and is recommended after the surgical intervention. A 76-year-old man with a history of abdominal aortic aneurysm reconstruction presented to the emergency department with syncope and suspected upper gastrointestinal (GI) bleeding, which began approximately 30 min before. In the hospital, the patient?s condition worsened and he developed cardiac arrest due to massive GI bleeding. The advanced cardiopulmonary resuscitation was initiated and with suspected active aortoenteric communication, an urgent laparoscopy was immediately performed.

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