A RARE REASON FOR GASTROINTESTINAL SYSTEM BLEEDING: AORTOENTERIC FISTULA

Year 2018, Volume: 32 Issue: 3, 259 - 264, 15.12.2018

Mehtap Şahin Dilek Güney Esra Güngör Albayrak

Abstract

Aorto-enteric fistula is a rare clinical picture with a high incidence
of mortality among causes of gastrointestinal bleeding. Aorto-enteric fistulas,
seen as primary or secondary, develop most frequently after aortic graft
operation. Anamnesis plays a very important role in the diagnosis of
aorto-enteric fistula since it is at first an unsuspected cause of gastrointestinal
bleeding.

In this article, we report a case of a 75-year-old male patient with
gastrointestinal bleeding in whom the bleeding focus could not be determined
despite repeated endoscopies. The diagnosis of aortic dissection and
aorto-enteric fistula was achieved following CT angiography and aortic graft
sheath CT. 

Keywords

Gastrointestinal bleeding, aortic dissection, aorto-enteric fistula

Gastrointestinal Sistem Kanamalarının Nadir Bir Nedeni: Aorto-enterik Fistül

Abstract

Aorto-enterik fistül, gastrointestinal
sistem kanama nedenleri arasında nadir görülen, mortalitesi yüksek olan klinik
bir tablodur. Primer veya sekonder olarak görülen aorto-enterik fistüller en
sık aort grefti operasyonu sonrasında gelişmektedir. Gastrointestinal kanamalı
hastanın tanısında ilk olarak akla gelmeyen bu tablonun tanısında anamnez çok
önemli bir rol oynamaktadır.

Bu makalede tekrarlanan endoskopilere
rağmen kanama odağı belirlenemeyen, aort grefti öykülü, batın CT-anjiografi ve
operasyon sonrasında aort disseksiyonu ve aorto-enterik fistül tanısı saptanan
gastrointestinal kanamalı 75 yaşında bir erkek hasta sunulmaktadır.

Keywords

Gastrointestinal kanama, aort diseksiyonu, aorto-enterik fistül

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