Endoscopic treatment of primary aorto-enteric fistulas: A case report and review of literature

Victoria Berner-Hansen*, August A Olsen, Birgitte Brandstrup

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftArtikelForskningpeer review

Abstract

BACKGROUND: Primary aorto-enteric fistula (PAEF) is a rare condition, traditionally treated in the acute, bleeding phase with open surgery or endovascular repair. However, these approaches have high morbidity and mortality, indicating a need for new methods. With advances in endoscopic techniques and equipment, haemoclipping of fistulas has now become feasible. Therefore, we present a systematic review of the English literature and a rare case of a PAEF successfully treated by endoscopic haemoclipping.

CASE SUMMARY: A 74-year-old man with an abdominal aortic aneurysm presented with symptoms of haemorrhagic shock and bloody stools. An oesophago-gastro-duodenoscopy was performed with haemoclipping of a suspected PAEF in the third part of the duodenum. Afterward, a computed tomography-angiography showed a contrast filled protrusion from the abdominal aortic aneurysm. Based on the clinical presentation and the combined endoscopic and radiographic findings, we argue that this is a case of a PAEF.

CONCLUSION: Endoscopic therapy appears capable of achieving haemodynamic stabilisation in patients with bleeding PAEF, serving as a bridge to final therapy.

OriginalsprogEngelsk
Sider (fra-til)189-197
Antal sider9
TidsskriftWorld journal of gastrointestinal endoscopy
Vol/bind13
Udgave nummer6
DOI
StatusUdgivet - 16 jun. 2021

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©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.

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