Aortoenteric Fistula Causing Syncope and Gastrointestinal Bleeding
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AuthorGrasun, Aureliu; Alonso Valle, Héctor; Andrés Gómez, María; Prieto Lastra, Luis; Garmilla Ezquerra, Pablo; Mateos Chaparro, Francisco Manuel; Odriozola Romillo, María Nuria; Grasun, Elena; Rubio Sánchez, Sergio; Iglesias Oliva, Luis; Seabrook Maggio, Patricio Alberto; Jauregui Solorzano, Ricardo
Aortoenteric fistula (AEF) is an uncommon and emergency clinical condition of intra-abdominal bleeding. Early diagnosis can be achieved by computed tomography
and endoscopy exploration. Surgical reconstruction is an urgent and multidisciplinary treatment and is recommended after the surgical intervention.
A 76-year-old man with a history of abdominal aortic aneurysm reconstruction presented to the emergency department with syncope and suspected
upper gastrointestinal (GI) bleeding, which began approximately 30 min before. In the hospital, the patient?s condition worsened and he developed cardiac
arrest due to massive GI bleeding. The advanced cardiopulmonary resuscitation was initiated and with suspected active aortoenteric communication, an
urgent laparoscopy was immediately performed.
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