Diagnosis and Clinical Presentation of Iliac Graft-Enteric Fistula: A Case Report
NCT ID: NCT06553105
Last Updated: 2024-08-14
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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NOT_YET_RECRUITING
1 participants
OBSERVATIONAL
2024-08-11
2024-08-13
Brief Summary
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Introduction:
Aorto-enteric fistula (AEF) is a life-threatening complication arising from abnormal connections between the gastrointestinal tract and major arteries. One uncommon type, iliac artery-enteric fistula (IEF), can occur following vascular interventions such as arterial stent-graft placement.
Case Presentation:
We report the case of a 47-year-old male presenting with hematemesis and abdominal pain, who was diagnosed with an iliac graft-enteric fistula. Timely recognition and management were crucial for a favorable outcome.
Clinical Discussion:
Diagnosing AEFs remains challenging, requiring a multidisciplinary approach and high clinical suspicion. While computed tomography angiography (CTA) is commonly used for diagnosis, its sensitivity may be limited, emphasizing the importance of integrating clinical history and findings. Management strategies vary based on etiology and patient status, with surgery being pivotal.
Conclusion:
Aorto-enteric fistula, which can arise from a thrombosed graft, presents diagnostic challenges due to its rare formation. In patients with a history of vascular interventions and gastrointestinal bleeding, AEF should be considered. This case underscores the need for heightened awareness among healthcare professionals regarding AEF diagnosis and management to reduce severe morbidity, mortality, and prolonged hospital stays.
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Detailed Description
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Conditions
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Study Design
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CASE_ONLY
OTHER
Interventions
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ct scan
use ct scan for diagnosis fistula
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
40 Years
50 Years
MALE
Yes
Sponsors
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Golestan University of Medical sciences
OTHER
Responsible Party
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Reza zahedpasha
Department of Radiology, School of Medicine, 5th Azar Hospital, Gorgan, Golestan, Iran
Other Identifiers
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there is no id
Identifier Type: -
Identifier Source: org_study_id
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