Celiac Arterioenteric Fistula after Open Repair of Celiac Artery Aneurysm - Case Report

<p>In a patient with a known history of aortic surgery, presence of upper gastrointestinal bleeding requires a high index suspicion for the possibility of aorto-enteric fistula. Aorto-enteric fistula is an uncommon but known complication occurring after abdominal aortic reconstruction. However...

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Main Authors: Arpit Amin (Author), Saptarshi Biswas (Author), Francis Carroll (Author), Romeo Mateo (Author), Sateesh Babu (Author)
Format: Book
Published: International Journal of Vascular Surgery and Medicine - Peertechz Publications, 2015-12-01.
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Summary:<p>In a patient with a known history of aortic surgery, presence of upper gastrointestinal bleeding requires a high index suspicion for the possibility of aorto-enteric fistula. Aorto-enteric fistula is an uncommon but known complication occurring after abdominal aortic reconstruction. However, there are few reported cases of enteric fistulas arising after splanchnic artery aneurysm repair.</p><p>We report a unique case of a celiac artery graft - duodenal fistula in a 60-year-old male, who developed upper gastrointestinal bleeding two months after initial open resection of a celiac artery aneurysm and placement of an aorto-celiac artery graft. The patient underwent successful repair of the fistula and the resection of the involved graft with ligation of the common hepatic artery and splenectomy.</p><p>Our case report highlights the rare entity of celiac arterio-enteric fistula after open repair of a celiac artery aneurysm and reviews the diagnostic and treatment modalities available for successful management of this rare complication.</p>
DOI:10.17352/2455-5452.000007