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Aortoenteric Fistula
Atif Zaheer, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Abnormal communication between aorta and GI tract

              IMAGING

              • General Features

                • CT Findings

                  • Nuclear Medicine Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Petrunić M et al: Recurrent aortic infections due to unrecognized aorto-enteric fistula. Ann Vasc Surg. 63:455.e11-15, 2020
                                    2. Partovi S et al: Imaging work-up and endovascular treatment options for aorto-enteric fistula. Cardiovasc Diagn Ther. 8(Suppl 1):S200-7, 2018
                                    3. Spanos K et al: Current status of endovascular treatment of aortoenteric fistula. Semin Vasc Surg. 30(2-3):80-4, 2017
                                    4. Capoccia L et al: Current technology for the treatment of infection following abdominal aortic aneurysm (AAA) fixation by endovascular repair (EVAR). J Cardiovasc Surg (Torino). 55(3):381-9, 2014
                                    5. Fujihara S et al: An iatrogenic sigmoid perforation caused by an aortobifemoral graft mimicking an advanced colon cancer. Intern Med. 52(3):355-7, 2013
                                    6. Veraldi GF et al: Aorto-duodenal fistula on an aortic endograft: a rare cause of late conversion after endovascular aneurysm repair. Gen Thorac Cardiovasc Surg. 60(6):350-4, 2012
                                    7. Chenu C et al: Aorto-enteric fistula after endovascular abdominal aortic aneurysm repair: case report and review. Eur J Vasc Endovasc Surg. 37(4):401-6, 2009
                                    8. Geraci G et al: Secondary aortoduodenal fistula. World J Gastroenterol. 14(3):484-6, 2008
                                    9. Gerard PS et al: Massive gastrointestinal bleeding due to an aorto-enteric fistula seen by technetium-99m-labeled red blood cell scintigraphy. Clin Nucl Med. 32(7):551-2, 2007
                                    10. Mylona S et al: Aorto-enteric fistula: CT findings. Abdom Imaging. 32(3):393-7, 2007
                                    11. Tacchini S et al: CT findings of secondary aorto-enteric fistulae. Radiol Med. 110(5-6):492-500, 2005
                                    12. Perks FJ et al: Multidetector computed tomography imaging of aortoenteric fistula. J Comput Assist Tomogr. 28(3):343-7, 2004
                                    13. Lenzo NP et al: Aortoenteric fistula on (99m)Tc erythrocyte scintigraphy. AJR Am J Roentgenol. 177(2):477-8, 2001
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            • Clinical Issues

                                              • Diagnostic Checklist

                                                TERMINOLOGY

                                                • Definitions

                                                  • Abnormal communication between aorta and GI tract

                                                IMAGING

                                                • General Features

                                                  • CT Findings

                                                    • Nuclear Medicine Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Petrunić M et al: Recurrent aortic infections due to unrecognized aorto-enteric fistula. Ann Vasc Surg. 63:455.e11-15, 2020
                                                                      2. Partovi S et al: Imaging work-up and endovascular treatment options for aorto-enteric fistula. Cardiovasc Diagn Ther. 8(Suppl 1):S200-7, 2018
                                                                      3. Spanos K et al: Current status of endovascular treatment of aortoenteric fistula. Semin Vasc Surg. 30(2-3):80-4, 2017
                                                                      4. Capoccia L et al: Current technology for the treatment of infection following abdominal aortic aneurysm (AAA) fixation by endovascular repair (EVAR). J Cardiovasc Surg (Torino). 55(3):381-9, 2014
                                                                      5. Fujihara S et al: An iatrogenic sigmoid perforation caused by an aortobifemoral graft mimicking an advanced colon cancer. Intern Med. 52(3):355-7, 2013
                                                                      6. Veraldi GF et al: Aorto-duodenal fistula on an aortic endograft: a rare cause of late conversion after endovascular aneurysm repair. Gen Thorac Cardiovasc Surg. 60(6):350-4, 2012
                                                                      7. Chenu C et al: Aorto-enteric fistula after endovascular abdominal aortic aneurysm repair: case report and review. Eur J Vasc Endovasc Surg. 37(4):401-6, 2009
                                                                      8. Geraci G et al: Secondary aortoduodenal fistula. World J Gastroenterol. 14(3):484-6, 2008
                                                                      9. Gerard PS et al: Massive gastrointestinal bleeding due to an aorto-enteric fistula seen by technetium-99m-labeled red blood cell scintigraphy. Clin Nucl Med. 32(7):551-2, 2007
                                                                      10. Mylona S et al: Aorto-enteric fistula: CT findings. Abdom Imaging. 32(3):393-7, 2007
                                                                      11. Tacchini S et al: CT findings of secondary aorto-enteric fistulae. Radiol Med. 110(5-6):492-500, 2005
                                                                      12. Perks FJ et al: Multidetector computed tomography imaging of aortoenteric fistula. J Comput Assist Tomogr. 28(3):343-7, 2004
                                                                      13. Lenzo NP et al: Aortoenteric fistula on (99m)Tc erythrocyte scintigraphy. AJR Am J Roentgenol. 177(2):477-8, 2001