Aortoenteric fisulta

Revision as of 20:33, 25 March 2015 by Dx316gol (talk | contribs) (Background)

Background

A fistula formed between aorta and intestines, can be primary or secondary (often due to AAA repair)

  • Can form fistula anytime within life of AAA graft repair

Incidence: The annual incidence of primary aortoenteric fistulas is estimated to be about 0.007 per million while secondary aortoenteric fistulas is about 0.6-2%

Clinical Features

  • Classic triad of abdominal pain, GI bleeding and pulsatile abdominal mass only present in 23% of patients
  • Low grade fever,
  • abd pain,
  • Back pain,
  • h/o AAA graft
  • BRBPR

Differential Diagnosis

Lower gastrointestinal bleeding

Workup

Management

Disposition

See Also

External Links

Sources