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- W2306582007 abstract "Primary aortoenteric fistulas: report of two cases and literature review Primary aortoenteric fistula (AEF) is an uncommon clinical entity. It is clasically divided into two types: primary and secondary. Primary AEF, less frequent, consists of a spontaneous communication between the lumen of an aortic aneurysm and an intestinal loop, usually the duodenum. Secondary AEF, more frequent, typically occurs in patients with aneurysms who have undergone reconstructive procedures. The most frequent clinical presenting sign of AEF is upper gastrointestinal bleeding. The classical clinical triad (gastrointestinal bleeding, pain and pulsating mass) is not common. Clinical suspicion is essential for an appropiated diagnostic approach. Endoscopy and computed tomography are complementary techniques used for its diagnosis, although in most cases both techniques are negative and the definitive diagnosis is made at surgery. Treatment of choice is surgery, although there are some reported cases treated with endovascular techniques. We report two cases of primary aortoenteric fistula and we review the literature about this topic." @default.
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- W2306582007 date "2007-01-01" @default.
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- W2306582007 title "Fístulas aortoentéricas primarias: presentación de dos casos y revisión de la literatura" @default.
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