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KMID : 0368120150450040337
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Korean Circulation Journal
2015 Volume.45 No. 4 p.337 ~ p.339
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Primary Aortoenteric Fistula of a Saccular Aneurysm: Case Study and Literature Review
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Gianfranco Varetto
Lorenzo Gibello
Alessandra Trevisan
Claudio Castagno
Paolo Garneri
Pietro Rispoli
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Abstract
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Primary aortoenteric fistula is a direct communication between the aorta and intestinal lumen and it represents a rare but potentially lethal complication of an abdominal aortic aneurysm. However, it may occur less frequently in a naive non-aneurysmatic aorta. Diagnosis is often difficult and delayed in most cases, unless there is a high level of clinical awareness. Urgent surgery is still the recommended treatment. We describe the case of primary aortoenteric fistula of a saccular aneurysm. A 55-year-old woman was referred to our center with hematemesis, melena, and severe anemia who was dignosed previously with unknown saccular abdominal aneurysm.
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KEYWORD
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Aortic aneurysm, abdominal, Complications, Fistula
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