Aortoenteric Fistula-A Bomb in the Emergency Department: Suspect and do not Wait
Aortoenteric fistulas (AEF) are uncommon but fatal complications during aortic surgery that can cause heavy gastrointestinal bleeding (GIB). We present a patient who underwent aortic surgery and developed GIB that led to hemorrhagic shock. A 66-year-old man was transferred to our emergency departmen...
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2015-09-01
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| Series: | Eurasian Journal of Emergency Medicine |
| Subjects: | |
| Online Access: |
http://akademikaciltip.com/archives/archive-detail/article-preview/aortoenteric-fistula-a-bomb-in-the-emergency-depar/21880
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| _version_ | 1797923979529289728 |
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| author | Şerife Özdinç Sezgin Yılmaz Neşe Nur User |
| author_facet | Şerife Özdinç Sezgin Yılmaz Neşe Nur User |
| author_sort | Şerife Özdinç |
| collection | DOAJ |
| description | Aortoenteric fistulas (AEF) are uncommon but fatal complications during aortic surgery that can cause heavy gastrointestinal bleeding (GIB). We present a patient who underwent aortic surgery and developed GIB that led to hemorrhagic shock. A 66-year-old man was transferred to our emergency department (ED) because of deterioration in his general condition. On arrival at the ED, he was confused, pale, cooperative, cold, and sweaty. His blood pressure was 70/40 mmHg and pulse rate, 130/min. Plenty of fresh blood was seen in the nasogastric tube. We learned from patient’s family that he had undergone aortic surgery. The surgical team was notified regarding the possibility of an AEF. The patient was transferred to the operating room immediately without any imaging tests being performed. In patients with massive GIB who had undergone aortic surgery, AEF should be considered. When considering the diagnosis of AEF, surgical intervention should be performed as soon as possible before performing diagnostic tests. |
| first_indexed | 2024-04-10T14:54:33Z |
| format | Article |
| id | doaj.art-7f37e88cef2044c997aa24e697d4b13d |
| institution | Directory Open Access Journal |
| issn | 2149-5807 2149-6048 |
| language | English |
| last_indexed | 2024-04-10T14:54:33Z |
| publishDate | 2015-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Eurasian Journal of Emergency Medicine |
| spelling | doaj.art-7f37e88cef2044c997aa24e697d4b13d2023-02-15T16:07:27ZengGalenos YayineviEurasian Journal of Emergency Medicine2149-58072149-60482015-09-0114314514710.5152/jaem.2015.9821613049054Aortoenteric Fistula-A Bomb in the Emergency Department: Suspect and do not WaitŞerife Özdinç0Sezgin Yılmaz1Neşe Nur User2 Department of Emergency Medicine, Afyon Kocatepe University Faculty of Medicine, Afyonkarahisar, Turkey Department of General Surgery, Afyon Kocatepe University Faculty of Medicine, Afyonkarahisar, Turkey Department of Emergency Medicine, Afyon Kocatepe University Faculty of Medicine, Afyonkarahisar, Turkey Aortoenteric fistulas (AEF) are uncommon but fatal complications during aortic surgery that can cause heavy gastrointestinal bleeding (GIB). We present a patient who underwent aortic surgery and developed GIB that led to hemorrhagic shock. A 66-year-old man was transferred to our emergency department (ED) because of deterioration in his general condition. On arrival at the ED, he was confused, pale, cooperative, cold, and sweaty. His blood pressure was 70/40 mmHg and pulse rate, 130/min. Plenty of fresh blood was seen in the nasogastric tube. We learned from patient’s family that he had undergone aortic surgery. The surgical team was notified regarding the possibility of an AEF. The patient was transferred to the operating room immediately without any imaging tests being performed. In patients with massive GIB who had undergone aortic surgery, AEF should be considered. When considering the diagnosis of AEF, surgical intervention should be performed as soon as possible before performing diagnostic tests. http://akademikaciltip.com/archives/archive-detail/article-preview/aortoenteric-fistula-a-bomb-in-the-emergency-depar/21880 Aortic surgeryaortoenteric fistulagastrointestinal bleeding |
| spellingShingle | Şerife Özdinç Sezgin Yılmaz Neşe Nur User Aortoenteric Fistula-A Bomb in the Emergency Department: Suspect and do not Wait Eurasian Journal of Emergency Medicine Aortic surgery aortoenteric fistula gastrointestinal bleeding |
| title | Aortoenteric Fistula-A Bomb in the Emergency Department: Suspect and do not Wait |
| title_full | Aortoenteric Fistula-A Bomb in the Emergency Department: Suspect and do not Wait |
| title_fullStr | Aortoenteric Fistula-A Bomb in the Emergency Department: Suspect and do not Wait |
| title_full_unstemmed | Aortoenteric Fistula-A Bomb in the Emergency Department: Suspect and do not Wait |
| title_short | Aortoenteric Fistula-A Bomb in the Emergency Department: Suspect and do not Wait |
| title_sort | aortoenteric fistula a bomb in the emergency department suspect and do not wait |
| topic | Aortic surgery aortoenteric fistula gastrointestinal bleeding |
| url |
http://akademikaciltip.com/archives/archive-detail/article-preview/aortoenteric-fistula-a-bomb-in-the-emergency-depar/21880
|
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