AI Summary & Key Takeaways
AI InsightThis is the fourth case in the literature in which a needle was found to be associated with the development of an aortoenteric fistula.
📌 3 Key Takeaways
Abstract
A primary fistula between the abdominal aorta and the duodenum is rare and usually fatal. Atherosclerosis remains the most common etiologic factor, accounting for more than two-thirds of the cases reported. Other etiologies include carcinoma, ulcers, radiation, aortitis and foreign bodies including sewing needle, cocktail stick, open safety pin and fishbone. We report a case of a 17 year-old girl who underwent surgical treatment because of severe upper gastrointestinal bleeding which was related to an aortoduodenal fistula caused by a swallowed sewing needle. At operation, a chronic aortoduodenal fistula that contained the sewing needle was found and repaired. This is the fourth case in the literature in which a needle was found to be associated with the development of an aortoenteric fistula.
Özet
Abdominal aorta ve duodenum arasında primer fistül oluşumu nadir görülen ve yüksek mortaliteye sahip bir durumdur. Ateroskleroz en sık görülen fistül nedenidir; bildirilen olguların üçte ikisinden fazlasında sorumludur. Kanserler, ülser, radyasyon, aortit ve yabancı cisimler diğer etyolojik nedenlerdir. Burada dikiş iğnesi yutulması sonucu oluşan aortoduodenal fistüle bağlı masif üst gastrointestinal sistem kanaması nedeniyle ameliyat ettiğimiz 17 yaşındaki olgu sunuldu. Ameliyatta dikiş iğnesi içeren kronik aortoduodenal fistül bulunarak onarıldı. Olgumuz iğne yutma nedeniyle İngilizce literatürde sunulan dördüncü aortoenterik fistül olgusudur.