Aneurisma de aorta abdominal roto al duodeno: causa infrecuente de hemorragia digestiva masiva

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dc.catalogadorjlo
dc.contributor.authorMarine Massa, Leopoldo Ario Fernando
dc.contributor.authorMertens Martin, Renato Alfonso
dc.contributor.authorTorrealba Fonck, José Ignacio
dc.contributor.authorValdés Echenique, José Francisco
dc.contributor.authorBergoeing Reid, Michel Paul
dc.contributor.authorVargas, Francisco
dc.contributor.authorYañez Moya, Hugo Enrique
dc.date.accessioned2025-03-18T14:33:35Z
dc.date.available2025-03-18T14:33:35Z
dc.date.issued2021
dc.description.abstractPrimary aortoenteric fistula is the spontaneous communication between the lumen of the aorta and a portion of the digestive tract. The most common cause is the erosion of an abdominal aortic aneurysm into the 3rd or 4th portion of the duodenum. It manifests clinically as gastrointestinal bleeding, with or without abdominal pain and a pulsatile abdominal mass on physical exam. Gastrointestinal bleeding is initially recurrent and self-limiting and progresses to fatal exsanguinating hemorrhage. Endoscopic examination diagnoses only 25% of aortoenteric fistulas because these are usually located in the distal duodenum. Contrast computed tomography of the abdomen and pelvis is diagnostic in only 60% of cases. We report three cases with this condition. A 67-year-old male presenting with an upper gastrointestinal bleeding. He was operated and a communication between an aortic aneurysm and the duodenum was found and surgically repaired. The patient is well. A 67-year-old male with an abdominal aortic aneurysm presenting with abdominal pain. He was operated and anticoagulated. In the postoperative period he had a massive gastrointestinal bleeding and a new CAT scan revealed an aorto enteric fistula that was surgically repaired. The patient is well. An 82-year-old male with an abdominal aortic aneurysm presenting with hematochezia. A CAT scan revealed a communication between the aneurysm and the third portion of the duodenum, that was surgically repaired. The patient died in the eighth postoperative day.
dc.fechaingreso.objetodigital2025-03-18
dc.format.extent5 páginas
dc.fuente.origenWOS
dc.identifier.eissn0717-6163
dc.identifier.issn0034-9887
dc.identifier.pubmedidMEDLINE:34106145
dc.identifier.urihttp://dx.doi.org/10.4067/S0034-98872021000100132
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/102727
dc.identifier.wosidWOS:000652089600016
dc.information.autorucEscuela de Medicina; Marine Massa, Leopoldo Ario Fernando; 0000-0002-2135-4559; 4085
dc.information.autorucEscuela de Medicina; Mertens Martin, Renato Alfonso; 0000-0001-6929-4850; 75745
dc.information.autorucEscuela de Medicina; Torrealba Fonck, José Ignacio; S/I; 127519
dc.information.autorucEscuela de Medicina; Valdés Echenique, José Francisco; S/I; 23979
dc.information.autorucEscuela de Medicina; Bergoeing Reid, Michel Paul; 0000-0002-8900-1645; 92603
dc.information.autorucEscuela de Medicina; Yañez Moya, Hugo Enrique; S/I; 1098643
dc.issue.numero1
dc.language.isoes
dc.nota.accesocontenido completo
dc.pagina.final136
dc.pagina.inicio132
dc.revistaRevista Médica de Chile
dc.rightsacceso abierto
dc.subjectGastrointestinal hemorrhage
dc.subjectDigestive system fistula
dc.subjectAortic aneurysm
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleAneurisma de aorta abdominal roto al duodeno: causa infrecuente de hemorragia digestiva masiva
dc.title.alternativeRupture of abdominal aortic aneurysm into the duodenum: uncommon cause of massive gastrointestinal bleeding
dc.typeartículo
dc.volumen149
sipa.codpersvinculados4085
sipa.codpersvinculados75745
sipa.codpersvinculados127519
sipa.codpersvinculados23979
sipa.codpersvinculados92603
sipa.codpersvinculados1098643
sipa.trazabilidadWOS;18-03-2022
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