Abstract
Secondary aorto-enteric fistula (AEF) is a serious, but rare, complication following surgery of the abdominal aorta. AEF occurs in 0.3-2%, but is associated with a hospital mortality between 25-90%. It is also associated with an important morbidity with a lower limb amputation rate of 9%, and a 15% risk for renewed graft infection. Nine secondary AEF were surgically treated. The hospital mortality was high,44% (4/9). Recurrent AEF was observed in 1 patient 2 years after the first operation. During follow-up 2 patients had mild infections which were resolved by antibiotic treatment. Diagnostic modalities, and recent advancements in surgical treatment as well as preventive measures are discussed.
MeSH terms
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Aged
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Anastomosis, Surgical
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Aorta, Abdominal / surgery*
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Aortic Diseases / diagnosis*
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Aortic Diseases / mortality
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Aortic Diseases / surgery
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Blood Vessel Prosthesis Implantation
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Duodenal Diseases / diagnosis*
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Duodenal Diseases / mortality
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Duodenal Diseases / surgery
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Female
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Fistula / diagnosis*
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Fistula / mortality
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Fistula / surgery
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Gastrointestinal Hemorrhage / diagnosis
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Gastrointestinal Hemorrhage / etiology*
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Gastrointestinal Hemorrhage / mortality
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Humans
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Intestinal Fistula / diagnosis
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Intestinal Fistula / mortality
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Intestinal Fistula / surgery
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Male
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Middle Aged
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Postoperative Complications / diagnosis*
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Postoperative Complications / mortality
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Postoperative Complications / surgery
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Retrospective Studies
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Sepsis / complications
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Sepsis / mortality
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Sepsis / surgery
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Sutures