Gastrointestinal Sistem Kanamalarının Nadir Bir Nedeni: Sekonder Aortoenterik Fistül

Abstract

Aortoenterik fistül, geçirilmiş aort cerrahisi varlığına göre primer ve sekonder olarak sınıflandırılır. Sekonder aortoenterik fistül, rekonstrüktif aorta cerrahisi sonrası gelişen, nadir görülen ve ölümcül gastrointestinal kanamalara neden olan bir komplikasyondur. Gastrointestinal kanama semptomlarıyla başvuran hastalarda alışılmış tanıların dışında kalan aortoenterik fistül tanısını koyabilmek için detaylı bir anamnez gerekir. Bu çalışmada, kanlı kusma ve karın ağrısı şikayetleri ile başvuran, 20 yıl önce geçirilmiş aorta cerrahisi öyküsü olan ve yapılan endoskopide kanama odağı saptanmayan, batın BT ve operasyon sonrasında aortoenterik fistül tanısı konulan 78 yaşında erkek hasta sunulmakta, patogenez ve tanı prosedürleri vurgulanmaktadır.

Keywords

• Gastrointestinal kanama
• aort diseksiyonu
• aortaenterik fistül

A Rare Cause of Gastrointestinal Hemorrhage: Secondary Aortoenteric Fistula

Abstract

Aortoenteric fistula is classified as primary and secondary according to the presence of previous aortic surgery. Secondary aorto enteric fistula is a rare and fatal complication that develops after reconstructive aortic surgery. In patients presenting with gastrointestinal hemorrhage symptoms, a detailed anamnesis is required to diagnose aortoenteric fistula, which is outside the usual diagnoses. In this study, a 78-year-old male patient who presented with the complaints of bloody vomiting and abdominal pain, who had a history of aortic surgery 20 years ago and who had no bleeding focus at the endoscopy performed, was diagnosed with aortoenteric fistula after abdominal tomography and surgery, and pathogenesis and diagnostic procedures are emphasized.

Keywords

• Gastrointestinal hemorrhage
• aortic dissection
• aortoenteric fistula

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