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Double secondary aorto-enteric fistula: a case report

Gastroenterology & Hepatology: Open Access
Franzon Orli,1 Téllez Lorena Carolina Neto2


Introduction: Endoprothesis infections (EIs) are rare postoperative complications of endovascular procedures, with incidence ranging from 0.2% to 0.7%. Secondary aorto-enteric fistulas presents a mortality rate of approximately 60%, featuring more prevalence the association with the duodenum (70%) and displays a rare association when endovascular procedures are performed.
Case report: This study reports the case of a 72-year-old male patient who developed a duodenal aorto-enteric fistula associated witha fistula in the sigmoid colon and left common iliac artery after undergoing by stentimplantation for aortic aneurysm repair. Successful treatment and surgical correction was performed.
Conclusion: Aorto-enteric fistulas after endovascular approach correspond to a rare complication with high mortality, being extremely important the early diagnosis and effective therapeutic approach.


endoprosthesis, vascular fistula, intestinal fistula