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
em Ko
| WPRIM
| ID: wpr-80214
Biblioteca responsável:
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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Doenças da Aorta
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Angiografia
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Tomografia Computadorizada por Raios X
/
Stents
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Endoscopia Gastrointestinal
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Aneurisma da Aorta Abdominal
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Embolização Terapêutica
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Fístula
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Hemorragia Gastrointestinal
Limite:
Aged
/
Aged80
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Humans
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Male
Idioma:
Ko
Revista:
The Korean Journal of Gastroenterology
Ano de publicação:
2013
Tipo de documento:
Article