Author(s): Marques, Isabel ; Vieira, Mário ; Ferreira, Ana ; Abreu, Rodolfo ; Rodrigues, Roger ; Vilaça, Luís ; Oliveira, João
Date: 2023
Origin: Portuguese Journal of Cardiac Thoracic and Vascular Surgery
Subject(s): Aortic Aneurysm; Intestinal Fistula; Gastrointestinal Hemorrhage; Endovascular Procedures; Vascular Surgical Procedures
We report the case of a 64-year-old male with significant cardiac comorbidities who reported three episodes of gastrointestinal bleeding. In the third episode, he presented massive hematemesis, anaemia and hypotension. Despite a standard upper endoscopy, a computed tomography (CT) showed an infrarenal abdominal aortic aneurysm and densification of the aortic fat cover. A primary aortoenteric fistula, with acute bleeding and haemodynamic instability, was assumed, and an emergent endovascular repair was performed. Subsequent CT scans and endoscopies demonstrated control of the enteric lesion. After five months, there was no evidence of infection or rebleeding.
