Table 1.
Summary of published case reports describing secondary aortoenteric fistula after both open surgery and endovascular aortic reconstruction for abdominal aortic aneurysm
| Date | Authors and reference number | Age, sex | Clinical presentation | Initial treatment for aneurysm | Period† | Treatment for SAEF | Outcome | Pathological examination‡ | Estimated aetiology§ | |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 2018 | Arworn et al. [20] | 42 M | Hematemesis, melena | EVAR | 1 yr 1 m | Aortic reconstruction, bowel repair | Alive at 9 months | + | Mechanical factor |
| 2 | 2018 | Alfawaz et al. [28] | 62 M | Malaise, fever | Open surgery | 7 yr | Aortic reconstruction, bowel repair | Alive at 7 days | – | Unclear |
| 3 | 2017 | Dickfos et al. [19] | 75 M | Abdominal pain, fevers | EVAR | 1 yr 2 m | Aortic reconstruction | Unclear | – | Infection |
| 4 | 2016 | Kadhim et al. [21] | 66 M | Confusion, fever | EVAR | 15 yr | Bowel repair, debridement | Alive at 12 months | + | Infection |
| 5 | 2017 | Guevara-Noriega et al. [18] | 65 M | Malaise | Open surgery | 1 yr 10 m | Aortic reconstruction, bowel repair | Alive at 2 years | – | Infection |
| 6 | 2014 | Zaki et al. [17] | 75 M | Abdominal pain, hematemesis | EVAR | 2 yr 6 m | Aortic reconstruction, bowel repair | Died | – | Infection |
| 7 | 2013 | Jamal et al.[29] | 60 F | Hematemesis, melena | Open surgery | 6 yr | Surgery | Died | – | Unclear |
| 8 | 2009 | Grassia et al. [30] | 72 M | Hematochezia | Open surgery | 8 yr | Aortic reconstruction | Alive at 2 weeks | – | Unclear |
| 9 | 2009 | McAloon et al. [31] | 73 M | Lethargy, melena | Open surgery | 10 yr | None* | Died | – | Unclear |
| 10 | 2008 | Hara et al. [16] | 84 M | Hematochezia | Open surgery | 14 yr | Aortic reconstruction, bowel repair | Alive at 6 months | – | Recurrent aneurysm |
| 11 | 2008 | Geraci et al. [15] | 59 M | Dyspepsia, vomiting | Open surgery | 5 yr | Bowel repair | Alive at 6 months | – | Mechanical factor |
| 12 | 2008 | Bognar et al. [22] | 67 M | Rectal bleeding | Open surgery | 4 yr | Aortic reconstruction, bowel repair | Alive at 24 days | + | Mechanical factor |
| 13 | 2007 | Brountzos et al. [32] | 85 M | Gastrointestinal bleeding | Open surgery | 10 yr | EVAR | Alive at 1 year | – | Unclear |
| 14 | 2006 | Heidemann et al. [33] | 52 M | Hematochezia, hematemesis | Open surgery | 6 m | Aortic reconstruction, bowel repair | Alive at 8 months | – | Unclear |
| 15 | 2007 | Tsunekawa et al. [23] | 75 M | Fever, malaise | Open surgery | 15 yr | Aortic reconstruction, bowel repair | Alive at 1 month | + | Infection |
| 16 | 2006 | Maternini et al. [14] | 73 M | Melena | Open surgery | 15 yr | EVAR | Alive | – | Unclear |
| 17 | 2005 | Mundal et al. [24] | 82 F | Hematemesis | Open surgery | 17 yr | Surgery | Died | + | Unclear |
| 18 | 2004 | French et al. [13] | 68 F | Hematemesis | EVAR | 1 yr | Aortic reconstruction, bowel repair, debridement | Died | – | Infection |
| 19 | 2002 | Tomlinson et al. [34] | 90 M | Melena, abdominal pain | Open surgery | 5 yr | EVAR | Alive at 14 months | – | Unclear |
| 20 | 2000 | Makar et al. [35] | 70 M | Epigastric discomfort | EVAR | 4 m | Antibiotics | Died | – | Unclear |
| 21 | 1999 | Karacagil et al. [36] | 70 F | Melena, fever | Open surgery | 14 yr | Aortic reconstruction, bowel repair | Alive at 2 years | – | Unclear |
| 22 | 1993 | Neergaard et al. [37] | 69 M | Hematemesis, melena | Open surgery | 8 yr | Aortic reconstruction, bowel repair | Alive at 4 months | – | Unclear |
| 23 | 2018 | Jiang et al. [38] | 85 M | Melena, tiredness, dizziness, fever | EVAR | 2 yr 4 m | Aortic reconstruction, bowel repair, debridement | Alive at 15 months | – | Unclear |
| 24 | 2017 | Hansen et al. [12] | 75 F | Melena | Open surgery | 2 yr | Open surgery + EVAR | Alive at 12 years | – | Infection |
| 25 | 1998 | Yabu et al. [25] | 77 M | Dyspnea | Open surgery | 10 yr | None* | Died | + | Mechanical factor |
EVAR endovascular aortic reconstruction, F female, m month, M male, SAEF secondary aortoenteric fistula, yr year
†period after abdominal aortic aneurysm treatment
‡whether pathological examination was performed or not
§possible cause suggested by authors of the report
*patient died immediately before any treatment