A Case of Angiographic Embolization of Aortoenteric Fistula Caused by Endovascular Stent Grafting for an Abdominal Aortic Aneurysm / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 230-233, 2013.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-80214
Responsible library:
WPRO
ABSTRACT
Aortoenteric fistula (AEF) developed after treatment for an abdominal aortic aneurysm (AAA) is a rare but usually fatal complication. We report a rare case of AEF bleeding after endovascular stent grafting for AAA which was managed angiographically. An 81-year-old man presented with hematochezia and acute abdominal pain for 1 day ago. Four years ago, an aortic stent was implanted in the infrarenal aorta for AAA. Endoscopies were performed to evaluate the hematochezia. Evidence of gastrointestinal bleeding was observed, but a clear bleeding point was not detected on upper endoscopy and colonoscopy. Contrast-enhanced computed tomography performed subsequently showed that the bleeding point was located in the fourth portion of the duodenum as an AEF caused by an inflammatory process in the stent-graft. Intra-arterial angiography showed a massive contrast leakage into the bowel via a small fistula from around the aortic stent graft site. Embolization was successfully performed by injecting a mixture of glue and lipiodol into the AEF tract. The patient was discharged with no evidence of gastrointestinal bleeding after the embolization.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Aortic Diseases
/
Angiography
/
Tomography, X-Ray Computed
/
Stents
/
Endoscopy, Gastrointestinal
/
Aortic Aneurysm, Abdominal
/
Embolization, Therapeutic
/
Fistula
/
Gastrointestinal Hemorrhage
Limits:
Aged
/
Aged, 80 and over
/
Humans
/
Male
Language:
Korean
Journal:
The Korean Journal of Gastroenterology
Year:
2013
Document type:
Article