Emergency CTA Diagnosis and Successful Endovascular Management of Aorto-duodenal Fistula

Authors

  • Giulia Lassandro Department of Radiology, Ospedale del Mare, Naples, Italy
  • Giorgio Mazzotta Institute of Radiology, Catholic University of the Sacred Heart, Rome, Italy
  • Stefano Giusto Picchi Department of Radiology, Ospedale del Mare, Naples, Italy
  • Giuseppe Sarti Vascular and Interventional Unit, Ospedale del Mare, Naples, Italy
  • Fabio Spinetti Department of Vascular Surgery, Ospedale del Mare, Naples, Italy
  • Antonio Corvino Movement Sciences and Wellbeing Department, University of Naples “Parthenope”, Naples, Italy
  • Giampaolo Santini Vascular and Interventional Unit, Ospedale del Mare, Naples, Italy
  • Fabio Tamburro Department of Radiology, Ospedale del Mare, Naples, Italy

DOI:

https://doi.org/10.26676/jevtm.293

Keywords:

Aorto-Enteric Fistula, Computed Tomography Angiography (CTA), Endovascular Approach, Life-Saving Treatment, Emergency Setting

Abstract

Aorto-enteric fistula is defined as a communication between the aorta and the gastrointestinal tract. It is a rare but life-threatening condition associated with almost 100% mortality without prompt surgical intervention. The most common type of aorto-enteric fistula is the aorto-duodenal fistula. Upper gastrointestinal bleeding is the most common presentation, ranging from a minor haemorrhage to massive life-threatening bleeding.
Computed tomography angiography is the first-line modality for imaging evaluation of suspected aorto-enteric fistula. Surgical treatment of this condition may be open aortic repair, in situ graft replacement if present, or placement of an extra-anatomical bypass.
We present our case of a 71-year-old woman with infected aorto-aortic graft complicated by aorto-duodenal fistula. The patient was successfully treated by aortic Zenith Cook cuff endovascular placement in the emergency setting as a life-saving treatment and a bridge solution to elective surgery.

Downloads

Published

2023-11-29

How to Cite

Lassandro, G., Mazzotta, G., Picchi, S. G., Sarti, G., Spinetti, F., Corvino, A., … Tamburro, F. (2023). Emergency CTA Diagnosis and Successful Endovascular Management of Aorto-duodenal Fistula. Journal of Endovascular Resuscitation and Trauma Management, 7(2), 62–66. https://doi.org/10.26676/jevtm.293

Issue

Vol. 7 No. 2 (2023)

Section

Case Reports

License

Copyright (c) 2023 Journal of Endovascular Resuscitation and Trauma Management

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors of content published in the JEVTM retain the copyright to their works.

Articles in the JEVTM are published under the terms of a Creative Commons CC BY 4.0 license, which permits use, downloading, distribution, linking to and reproduction in any medium, provided the original work is properly cited.

Most read articles by the same author(s)