Aortoenteric fistula following elective laparoscopic cholecystectomy
We present the case of a 71-year-old woman with gastrointestinal bleeding 21 days after undergoing elective laparoscopic cholecystectomy. Initial imaging revealed a pseudoaneurysm of nonaneurysmal infrarenal aorta, managed with an endovascular stent graft. Despite this procedure, recurrent gastroint...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725000437 |
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| author | Laura Tupper-Ring, MRM Lauren Mills, MPH Joey McDonald, MD, FRCSC Chris Lightfoot, MD, FRCPC Scott Livingstone, MD, FRCSC Samuel Jessula, MDCM, MSc, FRCSC |
| author_facet | Laura Tupper-Ring, MRM Lauren Mills, MPH Joey McDonald, MD, FRCSC Chris Lightfoot, MD, FRCPC Scott Livingstone, MD, FRCSC Samuel Jessula, MDCM, MSc, FRCSC |
| author_sort | Laura Tupper-Ring, MRM |
| collection | DOAJ |
| description | We present the case of a 71-year-old woman with gastrointestinal bleeding 21 days after undergoing elective laparoscopic cholecystectomy. Initial imaging revealed a pseudoaneurysm of nonaneurysmal infrarenal aorta, managed with an endovascular stent graft. Despite this procedure, recurrent gastrointestinal bleeding persisted, prompting further imaging that identified an aortoenteric fistula complicated by endograft infection. The fistula likely resulted from an iatrogenic injury caused by trocar entry during the cholecystectomy. Definitive surgical repair involved resection of the infected endograft and reconstruction with a bovine pericardium conduit. This case highlights the diagnostic challenges of aortoenteric fistulas, endograft infection risks, and considerations in selecting conduits for reconstruction. |
| format | Article |
| id | doaj-art-583b4a585ad643dbbd61a31fc38e6432 |
| institution | DOAJ |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-583b4a585ad643dbbd61a31fc38e64322025-08-20T02:57:21ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-06-0111310176110.1016/j.jvscit.2025.101761Aortoenteric fistula following elective laparoscopic cholecystectomyLaura Tupper-Ring, MRM0Lauren Mills, MPH1Joey McDonald, MD, FRCSC2Chris Lightfoot, MD, FRCPC3Scott Livingstone, MD, FRCSC4Samuel Jessula, MDCM, MSc, FRCSC5Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, CanadaFaculty of Medicine, Dalhousie University, Halifax, Nova Scotia, CanadaDivision of Vascular Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, CanadaDepartment of Interventional Radiology, Dalhousie University, Halifax, Nova Scotia, CanadaDivision of General Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, CanadaDivision of Vascular Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada; Correspondence: Samuel Jessula, MDCM, MSc, FRCSC, Division of Vascular Surgery, Room 4719, 1796 Summer St, Halifax, Nova Scotia B3H1A7We present the case of a 71-year-old woman with gastrointestinal bleeding 21 days after undergoing elective laparoscopic cholecystectomy. Initial imaging revealed a pseudoaneurysm of nonaneurysmal infrarenal aorta, managed with an endovascular stent graft. Despite this procedure, recurrent gastrointestinal bleeding persisted, prompting further imaging that identified an aortoenteric fistula complicated by endograft infection. The fistula likely resulted from an iatrogenic injury caused by trocar entry during the cholecystectomy. Definitive surgical repair involved resection of the infected endograft and reconstruction with a bovine pericardium conduit. This case highlights the diagnostic challenges of aortoenteric fistulas, endograft infection risks, and considerations in selecting conduits for reconstruction.http://www.sciencedirect.com/science/article/pii/S2468428725000437Aortoentric fistulaBovine graftIatrogenic injury |
| spellingShingle | Laura Tupper-Ring, MRM Lauren Mills, MPH Joey McDonald, MD, FRCSC Chris Lightfoot, MD, FRCPC Scott Livingstone, MD, FRCSC Samuel Jessula, MDCM, MSc, FRCSC Aortoenteric fistula following elective laparoscopic cholecystectomy Journal of Vascular Surgery Cases and Innovative Techniques Aortoentric fistula Bovine graft Iatrogenic injury |
| title | Aortoenteric fistula following elective laparoscopic cholecystectomy |
| title_full | Aortoenteric fistula following elective laparoscopic cholecystectomy |
| title_fullStr | Aortoenteric fistula following elective laparoscopic cholecystectomy |
| title_full_unstemmed | Aortoenteric fistula following elective laparoscopic cholecystectomy |
| title_short | Aortoenteric fistula following elective laparoscopic cholecystectomy |
| title_sort | aortoenteric fistula following elective laparoscopic cholecystectomy |
| topic | Aortoentric fistula Bovine graft Iatrogenic injury |
| url | http://www.sciencedirect.com/science/article/pii/S2468428725000437 |
| work_keys_str_mv | AT lauratupperringmrm aortoentericfistulafollowingelectivelaparoscopiccholecystectomy AT laurenmillsmph aortoentericfistulafollowingelectivelaparoscopiccholecystectomy AT joeymcdonaldmdfrcsc aortoentericfistulafollowingelectivelaparoscopiccholecystectomy AT chrislightfootmdfrcpc aortoentericfistulafollowingelectivelaparoscopiccholecystectomy AT scottlivingstonemdfrcsc aortoentericfistulafollowingelectivelaparoscopiccholecystectomy AT samueljessulamdcmmscfrcsc aortoentericfistulafollowingelectivelaparoscopiccholecystectomy |