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Arterioenteric Fistulae Due to Pseudoaneurysms of the Right Common Iliac and Splanchnic Vessels Presenting as Upper GI Bleed.
- Source :
-
Vascular and endovascular surgery [Vasc Endovascular Surg] 2016 Oct; Vol. 50 (7), pp. 497-501. - Publication Year :
- 2016
-
Abstract
- Arterial pseudoaneurysms are relatively rare complications of the vascular system. Many cases may remain asymptomatic for a lifetime only to be discovered incidentally, whereas others may cause fatal hemorrhage. Majority of cases present with local compressive symptoms. Rarely, it has been implicated as an etiology for gastrointestinal (GI) bleed by eroding into an adjacent bowel, with splanchnic pseudoaneurysm being more commonly responsible as compared to peripheral ones. Although rare, they are an important consideration because of the high mortality rate. They require a high index of suspicion with prompt diagnosis and expedient treatment, either surgical or endovascular. In this study, we report a case series of a right iliacoduodenal and 2 splanchnic pseudoaneurysms presenting as upper GI bleeding. These 3 cases presented with occult source of hematemesis due to the formation of arterioenteric fistula. Also discussed are the diagnostic approach used and successful treatment methods, which included placing endoprosthesis in the aorta and common iliac artery and endovascular coiling for respective cases. To the best of our knowledge, such a case of common iliac pseudoaneurysm presenting with massive hematemesis due to fistulization into duodenum has never been reported previously.<br /> (© The Author(s) 2016.)
- Subjects :
- Adolescent
Adult
Aneurysm, False diagnostic imaging
Aneurysm, False therapy
Blood Vessel Prosthesis Implantation
Computed Tomography Angiography
Duodenal Diseases diagnostic imaging
Duodenal Diseases therapy
Embolization, Therapeutic
Endoscopy, Gastrointestinal
Endovascular Procedures
Female
Gastrointestinal Hemorrhage therapy
Hematemesis etiology
Humans
Iliac Aneurysm diagnostic imaging
Iliac Aneurysm therapy
Intestinal Fistula diagnostic imaging
Intestinal Fistula therapy
Treatment Outcome
Vascular Fistula diagnostic imaging
Vascular Fistula therapy
Aneurysm, False complications
Duodenal Diseases etiology
Duodenum blood supply
Gastrointestinal Hemorrhage etiology
Hepatic Artery diagnostic imaging
Iliac Aneurysm complications
Intestinal Fistula etiology
Stomach blood supply
Vascular Fistula etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1938-9116
- Volume :
- 50
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Vascular and endovascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 27733701
- Full Text :
- https://doi.org/10.1177/1538574416673525