Diagnosis and Clinical Presentation of Iliac Graft-Enteric Fistula: A Case Report

NCT06553105 | Not Yet Recruiting DMC

• 1 other identifier: there is no id
• Study Type: observational
• Target: 1
• Locations: 0 countries
• Sites: N/A

Brief Summary

Abstract Introduction: Aorto-enteric fistula (AEF) is a life-threatening complication arising from abnormal connections between the gastrointestinal tract and major arteries. One uncommon type, iliac artery-enteric fistula (IEF), can occur following vascular interventions such as arterial stent-graft placement. Case Presentation: We report the case of a 47-year-old male presenting with hematemesis and abdominal pain, who was diagnosed with an iliac graft-enteric fistula. Timely recognition and management were crucial for a favorable outcome. Clinical Discussion: Diagnosing AEFs remains challenging, requiring a multidisciplinary approach and high clinical suspicion. While computed tomography angiography (CTA) is commonly used for diagnosis, its sensitivity may be limited, emphasizing the importance of integrating clinical history and findings. Management strategies vary based on etiology and patient status, with surgery being pivotal. Conclusion: Aorto-enteric fistula, which can arise from a thrombosed graft, presents diagnostic challenges due to its rare formation. In patients with a history of vascular interventions and gastrointestinal bleeding, AEF should be considered. This case underscores the need for heightened awareness among healthcare professionals regarding AEF diagnosis and management to reduce severe morbidity, mortality, and prolonged hospital stays.

Conditions

Case-report; Diagnosis; Digestive System Fistula; Gastrointestinal Hemorrhage; Iliac Graft-Enteric Fistula

Keywords

case-report; CT scan; Diagnosis; Digestive System Fistula; Gastrointestinal Hemorrhage; Iliac Graft-Enteric Fistula.

Outcome Measures

Primary Outcomes (1)

• diagnosis of fistula by ct scan

  one day

Interventions

ct scan DIAGNOSTIC_TEST

use ct scan for diagnosis fistula

Eligibility Criteria

• Age: 40 Years - 50 Years
• Sex: male
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

one man

You may qualify if:

• n/a

You may not qualify if:

• n/a

Sponsors & Collaborators

• Golestan University of Medical sciences: lead

MeSH Terms

Conditions

Disease; Digestive System Fistula; Gastrointestinal Hemorrhage

Interventions

Tomography, X-Ray Computed

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Digestive System Diseases; Fistula; Pathological Conditions, Anatomical; Gastrointestinal Diseases; Hemorrhage

Intervention Hierarchy (Ancestors)

Image Interpretation, Computer-Assisted; Diagnostic Imaging; Diagnostic Techniques and Procedures; Diagnosis; Radiographic Image Enhancement; Image Enhancement; Photography; Radiography; Tomography, X-Ray; Tomography

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: OTHER
• Target Duration: 10 Days
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Department of Radiology, School of Medicine, 5th Azar Hospital, Gorgan, Golestan, Iran

Study Record Dates

• First Submitted: August 10, 2024
• First Posted: August 14, 2024
• Study Start: August 11, 2024
• Primary Completion: August 12, 2024
• Study Completion: August 13, 2024
• Last Updated: August 14, 2024

Record last verified: 2024-08