A case of aortic graft-enteric erosion diagnosed by contrast sinography is presented. Only 2 other cases of graft-enteric erosion have been demonstrated in this way. The literature regarding pathogenesis, diagnosis, and treatment of aortic graft-enteric erosion is reviewed.
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References
1.
Bunt TJ: Synthetic vascular graft infections. II. Graft-enteric erosions and graft -enteric fistulas. Surgery94:1-9, 1983.
2.
O'Hara PJ, Hertzer NR, Beven EG, et al: Surgical management of infected abdominal aortic grafts: Review of a 25-year experience. J Vasc Surg3:725-731, 1986.
Reilly LM, Ehrenfeld WK, Goldstone J., et al: Gastrointestinal tract involvement by prosthetic graft infection: The significance of gastrointestinal hemorrhage. Ann Surg202:324-348, 1985.
10.
Flye MW, Thompson WM: Aortic graft-enteric and paraprosthetic-enteric fistulas. Am J Surg146:183-187, 1983.
11.
DeWeese MS, Fry WJ: Small bowel erosion following aortic resection. JAMA179:882-886, 1962.
12.
Busutill RW , Rees W., Baker J., et al: Pathogenesis of aortoduodenal fistula: Experimental and clinical correlates. Surgery85:1-13, 1979.
13.
Serota AI, Williams RA, Rose JG, et al: Uptake of radiolabeled leukocytes in prosthetic graft infection . Surgery90:35-40, 1981.
14.
Stevick CA, Fawcett HD: Aorto iliac-graft infection. Arch Surg116:939-942, 1981.
15.
Causey DA, Fajman WA, Perdue GD, et al: 67 Gallium scintigraphy in postoperative synthetic graft infections . Am J Roentgenol134:1041-1045, 1980 .
16.
Haagg JR, Baldwin GN, Reich NE, et al: CT detection of infected synthetic grafts: Preliminary report of a new sign. Am J Roentgenol131:317-320, 1978.
17.
Brown OW, Stanson AW, Pairolero PC, et al: Computerized tomography following abdominal aortic surgery. Surgery91:716-722, 1982.
18.
Rosenthal D. , Deterling RA, O'Donnell TF, et al: Positive blood culture as an aid in the diagnosis of secondary aorto-enteric fistula. Arch Surg114:1041-1044, 1979.
19.
Reilly LM, Altman H., Lusby RJ, et al: Late results following surgical management of vascular graft infection. J Vasc Surg1:36-44, 1984.
20.
Yeager RA, McConnell DB, Sasaki TM, et al: Aortic and peripheral prosthetic graft infection: Differential management and causes of mortality. Am J Surg150:36-43, 1985.
21.
Walker WE, Cooley DA, Duncan JM, et al: The management of aortoduodenal fistula by in situ replacement of the infected abdominal aortic graft. Ann Surg205:727-732, 1987.
22.
Casali RE, Tucker WE, Thompson BW, et al: Infected prosthetic grafts. Arch Surg115:577-580, 1980.
23.
Hanning C., Allgayer B., Risch M., et al: Duodenal fistula—a rare complication following the removal of an infected aortic graft: Case report. Cardiovasc Intervent Radiol9:33-36, 1986.
24.
Perdue GD, Smith RB, Ansley JD, et al: Impending aortoenteric hemorrhage: The effect of early recognition on improved outcome. Ann Surg192:237-243, 1980.
