Case Report
Aorto-Enteric Primary Fistula on Remote Endovascular Aneurysm Repair
1Department of Anatomy, Histology, Legal Medicine and Orthopedics - “Sapienza” University, Rome, Italy
2U.O.C. of Legal Medicine “A.O.R.N. Sant’Anna and San Sebastiano” of Caserta, Italy
3U.O.C. Pathological Anatomy “A.O.R.N. Sant’Anna and San Sebastiano” of Caserta, Italy
4Department of Medicine and Surgery, University of Salerno, Faculty of Medicine, Italy
2U.O.C. of Legal Medicine “A.O.R.N. Sant’Anna and San Sebastiano” of Caserta, Italy
3U.O.C. Pathological Anatomy “A.O.R.N. Sant’Anna and San Sebastiano” of Caserta, Italy
4Department of Medicine and Surgery, University of Salerno, Faculty of Medicine, Italy
J Clin Pract Res 2017; 39(4): 192-195 DOI: 10.5152/etd.2017.17090
Abstract
Aorto-Enteric Fistula (AEF) can be primary or secondary to surgery. The authors describe a case of death due to acute gastrointestinal hemorrhaging, resulting in primary AEF, in a patient who had undergone surgery in the past. The site and the pathological features of the lesion allow us to recognize the primary nature of the AEF, excluding remote surgery as a possible cause. The differential diagnosis is based on the patient’s history and also on the anatomical characteristics of the lesion, such as location and extent.
Keywords: Aorto-enteric fistula, death, endovascular aneurysm repair