• Eur J Vasc Endovasc Surg · Feb 2010

    Case Reports

    Primary aortoenteric fistula due to a swallowed twig in a three-year-old child.

    • S K Kappadath, M J Clarke, E Stormer, L Steven, and B Jaffray.
    • Northern Vascular Centre, Freeman Hospital, Freeman Road, High Heaton, Newcastle-upon-Tyne NE7 7DN, United Kingdom. skappadath@nhs.net
    • Eur J Vasc Endovasc Surg. 2010 Feb 1;39(2):217-9.

    AbstractAortoenteric fistulae are infrequent causes of gastrointestinal bleeding and usually occur as a late complication of aortic aneurysm repair. Primary aortoenteric fistulae are very rare and most have an aetiological association with atherosclerotic aneurysmal disease.(1,2) We report a primary aortoenteric fistula (PAEF) occurring in a 3 year old as a result of duodenal perforation after ingestion of a twig. To our knowledge this is the first case of a primary aortoenteric fistula reported in a child. Emergency aortic surgery in children needs certain considerations which are briefly discussed.Copyright (c) 2009 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.

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