scholarly journals Surgical approach to recurrent secondary aortoenteric fistulas: A case report

2021 ◽  
Vol 29 (3) ◽  
pp. 399-403
Author(s):  
Elbrus Zarbaliyev ◽  
Oğuz Konukoğlu ◽  
Mehmet Çağlıkülekçi ◽  
Denyan Mansuroğlu ◽  
Serap Baş ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Clinical Symptoms ◽  
Occult Blood ◽  
Aortic Aneurysms ◽  
Fecal Occult Blood ◽  
Aortic Graft ◽  
Abdominal Aortic ◽  
Short Period ◽  
Massive Gastrointestinal Bleeding ◽  
Aortoenteric Fistulas

The increasing number of abdominal aortic grafts due to abdominal aortic aneurysms has caused secondary aortoenteric fistulas to be seen more frequently as a cause of gastrointestinal bleeding. High index of suspicion plays a significant role in the diagnosis in patients having clinical symptoms ranging from fecal occult blood to massive gastrointestinal bleeding, accompanied by hemorrhagic shock. A 65-year-old male patient developed two secondary aortoenteric fistulas consecutively. The first one was aortic graft-jejunal and the second one was aortic graft-duodenal in a short period. Secondary aortoenteric fistula developed after aortobifemoral bypass. The patient underwent graft revision and jejunal repair. He was reoperated three months later due to the newly developed aortic graft-duodenal fistula. The duodenal defect was closed, and an extra-anatomic aortoiliac bypass was performed to avoid graft-related enteric fistula. The patient was discharged uneventfully and was free from any complication at nine months after surgery.

scholarly journals A 60-year-old woman with asymptomatic total thoracic–abdominal aortic aneurysm

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Jianying Deng ◽  
Wei Liu
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Effective Treatment ◽  
Clinical Symptoms ◽  
Aortic Aneurysms ◽  
Case Presentation ◽  
Second Stage ◽  
Aortic Replacement ◽  
Abdominal Aortic ◽  
Thoracoabdominal Aortic Replacement

Abstract Introduction Total thoracic–abdominal aortic aneurysm is a rare disease in cardiovascular surgery, with high surgical risk and high mortality. Surgery is considered the most effective treatment for total aortic aneurysms. Case presentation Our group admitted a 60-year-old female patients with asymptomatic complex total thoracic–abdominal aortic aneurysm, and successfully performed two-staged surgery, namely Bentall + Sun’s operation in the first-stage and thoracoabdominal aortic replacement in the second-stage. The results of the surgery were satisfactory. Conclusions Patients with total thoracic–abdominal aortic aneurysm may not have typical clinical symptoms and require a careful and comprehensive physical examination and related auxiliary examinations by clinicians. Staged repair of total thoracic–abdominal aortic aneurysms is still a safe and effective treatment.

scholarly journals Aortoenteric Fistula Assocaited with Acute Myocardial Infarcation

1990 ◽  
Vol 4 (6) ◽  
pp. 223-226
Author(s):  
Robert J Fingerote ◽  
Alan BR Thomson
Keyword(s):  
Myocardial Infarction ◽  
Abdominal Pain ◽  
Gastrointestinal Bleeding ◽  
Lower Limb ◽  
Limb Ischemia ◽  
Aortoenteric Fistula ◽  
Aortic Graft ◽  
Lower Limb Ischemia ◽  
Abdominal Aortic ◽  
Massive Gastrointestinal Hemorrhage

A 64-year-old male with a prior abdominal aortic graft for lower limb ischemia presented with melena and myocardial infarction. Despite aggressive investigation, an aortoenteric fistula was not diagnosed until after massive gastrointestinal hemorrhage. The patient's myocardial infarction may have heen precipitated by hypotension induced by hemorrhage through the aortoenteric fistula. Patients with prior abdominal aortic graft surgery presenting with gastrointestinal bleeding, abdominal pain or occult sepsis need to be aggressively investigated to determine whether an aortoenteric fistula is present. Laparotomy should be done in such patients if no cause for these symptoms can be determined.

scholarly journals A comparative study of chemical and immunological method of fecal occult blood test in the diagnosis of occult lower gastrointestinal bleeding

2014 ◽  
Vol 39 (2) ◽  
pp. 52-56 ◽  
Author(s):  
F Yeasmin ◽  
MA Ali ◽  
MA Rahman ◽  
T Sultana ◽  
MQ Rahman ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Blood Test ◽  
Chemical Method ◽  
Fecal Occult Blood Test ◽  
False Positive Rate ◽  
Occult Blood ◽  
Fecal Occult Blood ◽  
Occult Blood Test ◽  
Immunological Method ◽  
Fecal Occult

Fecal occult blood test is the most widely used screening test for diagnosis of gastrointestinal bleeding disorders specially colorectal carcinoma. Among the various methods of fecal occult blood tests, chemical method is being used commonly, but the method has some drawbacks like low participation rate, high false positive rate, low sensitivity etc. To overcome these short comings, newer immunological method was introduced. This study evaluated the role of immunological method of fecal blood test in the diagnosis of occult lower GIT bleeding. Stool samples from two hundred patients were examined by both chemical and immunological method. The patients who were positive by any or both methods of occult blood test, were advised for colonoscopy. During colonoscopy tissues were taken for histopathology which was the gold standard of this study. Among 110 OBT positive patients pathological lesions were detected in 65 patients by colonoscopy and histopathology. The diseases detected by colonoscopy and histopathology 18 colorectal polyp, 8 colorectal cancer, 24 ulcerative lesions and 5 inflammatory bowel disease etc. Regarding comparative analysis of chemical and immunological method, the higher sensitivity (95.4% vs. 49.2%), specificity (44.4% vs. 37.8%), accuracy (74.5% vs. 44.5%), PPV (71.3% vs. 53.3%) and NPV (87% vs. 34%) of immunological method than chemical method was observed. Thus immunological method of fecal occult blood test was appeared to be a better alternative to conventional chemical method of fecal occult blood test in the diagnosis of occult lower GIT bleeding. DOI: http://dx.doi.org/10.3329/bmrcb.v39i2.19641 Bangladesh Med Res Counc Bull 2013; 39: 52-56

scholarly journals Etiology analysis of lower gastrointestinal bleeding in children

2019 ◽  
Author(s):  
yun liu ◽  
XiuWen Chen ◽  
ShengHua Wan
Keyword(s):  
Gastrointestinal Bleeding ◽  
Gastrointestinal Disease ◽  
Color Doppler ◽  
Occult Blood ◽  
Lower Gastrointestinal Bleeding ◽  
Jiangxi Province ◽  
Fecal Occult Blood ◽  
Colon Polyps ◽  
Fecal Occult ◽  
Severity Of The Disease

Abstract Background: In a clinical setting, the common causes of lower gastrointestinal bleeding are often easy to identify, but some cases require detailed examinations to make a diagnosis. At present, the cause of lower gastrointestinal bleeding is unclear. The aim of this study was to review cases of children hospitalized for lower gastrointestinal bleeding in the past 5 years at our hospital and analyze the etiologies according to age group.Methods: In this study, we statistically analyzed the etiologies of lower gastrointestinal bleeding in children of different ages and sexes from Jiangxi Province, China. From January 2013 to August 2018, 8,036 patients hospitalized for lower gastrointestinal bleeding in Jiangxi Provincial Children’s Hospital were divided into groups to analyze the etiologies.Results: Of these 8,036 patients, 7,827 were clearly diagnosed. Etiologies included intussusception (4,741 cases, 60.6%), infectious diarrhea (2,171 cases, 27.7%), colon polyps (405 cases, 5.2%), Meckel’s diverticulum (292 cases, 3.7%), allergic colitis (113 cases, 1.4%), anal fissures (34 cases, 0.4%), Henoch-Schönlein purpura (27 cases, 0.3%), eosinophilic gastrointestinal disease (27 cases, 0.3%), and inflammatory bowel disease (17 cases, 0.2%). Generally, the condition presents with blood in the stool, bloody diarrhea, or fecal occult blood. Abdominal color Doppler ultrasonography, colonoscopy, computed tomography, 99 m Tc pertechnetate imaging, and other blood tests can aid in the diagnosis.Conclusions: We found that the type of lower gastrointestinal bleeding in children is related to age. Intussusception was the most common cause of intestinal obstruction overall and in infants between 6 and 36 months of age. Treatment of children with lower gastrointestinal bleeding should be based on prevention. Medical staff should actively raise awareness of the condition, identify the severity of the disease in a timely manner, make early diagnoses, provide prompt treatment, and cooperate with providers in multiple disciplines to save patients’ lives. Keywords: lower gastrointestinal bleeding, children, etiology, intussusception

Diagnostic Significance of Fecal Occult Blood Testing in Hospitalized Patients With Gastrointestinal Bleeding?

2015 ◽  
Vol 110 ◽  
pp. S1031-S1032
Author(s):  
Amaninder Jeet Singh. Dhaliwal ◽  
Garen Derhartunian ◽  
Irina Laptevsky ◽  
Sarvani Madiraju ◽  
Saw Sein ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Occult Blood ◽  
Fecal Occult Blood Testing ◽  
Hospitalized Patients ◽  
Fecal Occult Blood ◽  
Blood Testing ◽  
Diagnostic Significance ◽  
Fecal Occult
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