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1

TRAVIS, R. C., and W. J. WATTIE. "Aorto-enteric Fistula." Australasian Radiology 31, no. 3 (August 1987): 271–77. http://dx.doi.org/10.1111/j.1440-1673.1987.tb01829.x.

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2

Walsh, A. K. M., and B. R. Gwynn. "Atypical aorto-enteric fistula." European Journal of Vascular and Endovascular Surgery 9, no. 3 (April 1995): 353–54. http://dx.doi.org/10.1016/s1078-5884(05)80145-5.

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3

Gordon, Andrew C., and Mayank Agarwal. "Primary aorto-enteric fistula." International Journal of Surgery Case Reports 19 (2016): 60–62. http://dx.doi.org/10.1016/j.ijscr.2015.12.009.

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4

Singh, Sundeep, Uri Ladabaum, David M. Hovsepian, and George Triadafilopoulos. "Cancer-Associated Aorto-Enteric Fistula." Digestive Diseases and Sciences 57, no. 3 (October 22, 2011): 625–29. http://dx.doi.org/10.1007/s10620-011-1945-y.

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5

Mylona, Sophia, Sparti Ntai, Maria Pomoni, Anna Kokkinaki, Niki Lepida, and Loukas Thanos. "Aorto-enteric fistula: CT findings." Abdominal Imaging 32, no. 3 (September 21, 2006): 393–97. http://dx.doi.org/10.1007/s00261-006-9139-3.

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6

Ramanujam, Srihari, Aaron Shiels, Gary Zuckerman, and Chandra Prakash. "Unusual presentations of aorto-enteric fistula." Gastrointestinal Endoscopy 59, no. 2 (February 2004): 300–304. http://dx.doi.org/10.1016/s0016-5107(03)02357-5.

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7

Kavanagh, D. O., J. F. Dowdall, F. Younis, S. Sheehan, D. Mehigan, and M. C. Barry. "Aorto-enteric fistula: changing management strategies." Irish Journal of Medical Science 175, no. 1 (March 2006): 40–44. http://dx.doi.org/10.1007/bf03168999.

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8

Neergaard, Kirsten, Margit Mantoni, and Lisa Andersen. "Aorto-enteric fistula: unusual CT appearance." European Journal of Radiology 16, no. 3 (April 1993): 213–14. http://dx.doi.org/10.1016/0720-048x(93)90075-x.

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9

Mallawaarachchi, C., E. Ieong, D. Matthews, I. Qamar, and S. Das. "Aorto-Enteric Fistula Associated with Aortic Dissection." EJVES Extra 17, no. 6 (June 2009): 61–62. http://dx.doi.org/10.1016/j.ejvsextra.2009.02.002.

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10

Mallawaarachchi, C., E. Ieong, D. Matthews, I. Qamar, and S. Das. "Aorto-Enteric Fistula Associated with Aortic Dissection." European Journal of Vascular and Endovascular Surgery 38, no. 1 (July 2009): 136. http://dx.doi.org/10.1016/j.ejvs.2009.02.016.

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11

Maiolo, C., S. Caprioglio, G. Cadario, and A. De Lorenzo. "Lower intestinal bleeding due to aorto-enteric fistula." Digestive and Liver Disease 35, no. 3 (March 2003): 193–96. http://dx.doi.org/10.1016/s1590-8658(03)00028-8.

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12

Gutman, Haim, Isaac Russo, Margalit Neuman-Levin, Menashe Haddad, and Avigdor Zelikovski. "Computed tomography diagnosis of primary aorto-enteric fistula." Clinical Imaging 13, no. 3 (September 1989): 215–16. http://dx.doi.org/10.1016/0899-7071(89)90149-6.

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13

Golemi, Lolita, Ali Ahmad, Rohil Bedi, and Soophia Naydenov. "A CASE OF A SECONDARY AORTO-ENTERIC FISTULA." Journal of the American College of Cardiology 81, no. 8 (March 2023): 3375. http://dx.doi.org/10.1016/s0735-1097(23)03819-6.

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14

Gatt, Kelly, Pierre Ellul, and John Schembri. "Multiorganism sepsis secondary to enteric aorto-iliac graft fistulation." BMJ Case Reports 13, no. 5 (May 2020): e234936. http://dx.doi.org/10.1136/bcr-2020-234936.

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A woman in her early 70s with a history of infrarenal aortic endarterectomy and aorto-bi-iliac Dacron grafting 4 years before presented with recurrent septicaemias, occasionally polymicrobial and caused by a wide variety of organisms. After treatment for her sixth bacteraemia, enteroscopy showed a small area of ulceration with synthetic graft material protruding into the distal duodenal lumen. This was followed by positron emission tomography/CT, which showed mild increase in tracer uptake in the same region localised by a previously placed haemoclip. Despite urgent vascular surgery to repair the duodenal fistulas and replace the grafts, the patient passed away. Our patient posed a diagnostic challenge due to repeated imaging studies of different modalities and routine endoscopy failing to show a source of sepsis. It is unique due to the variety of organisms cultured as a result of the enteric fistula.
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15

Ricci, Serafino, Francesco Massoni, Pasquale Giugliano, Carmela Buonomo, and Antonello Crisci. "Aorto-Enteric Primary Fistula on Remote Endovascular Aneurysm Repair." Erciyes Tıp Dergisi/Erciyes Medical Journal 39, no. 4 (December 5, 2017): 192–95. http://dx.doi.org/10.5152/etd.2017.17090.

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16

Ishikawa, Kazunori, Hirofumi Midorikawa, Megumu Kanno, Takashi Ono, and Shigehiro Morishima. "Successfully Treated Secondary Aorto or Iliac Arterial-Enteric Fistula." Japanese Journal of Cardiovascular Surgery 37, no. 5 (2008): 298–301. http://dx.doi.org/10.4326/jjcvs.37.298.

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17

French, James R., Dominc V. Simring, Neil Merrett, and Peter Thursby. "Aorto‐enteric fistula following endoluminal abdominal aortic aneurysm repair." ANZ Journal of Surgery 74, no. 5 (May 2004): 397–99. http://dx.doi.org/10.1111/j.1445-1433.2004.03000.x.

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18

Riddle, Philip J., Akshay Shetty, and Andrew S. Brock. "Confirmatory Visualization of an Aorto-enteric Fistula With Esophagogastroduodenoscopy." Clinical Gastroenterology and Hepatology 17, no. 13 (December 2019): e157. http://dx.doi.org/10.1016/j.cgh.2018.08.070.

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19

Ghosh, Gaurav, Vikas Gupta, Charles Maltz, Carl V. Crawford, and David Wan. "Recurrent Hematemesis in a Patient With Aorto-enteric Fistula." American Journal of Gastroenterology 112 (October 2017): S1024. http://dx.doi.org/10.14309/00000434-201710001-01867.

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20

Heidemann, J., D. Domagk, J. Wessling, W. Domschke, and T. Kucharzik. "Recurrent Obscure Gastrointestinal Bleeding Caused by Aorto-Enteric Fistula." Zeitschrift für Gastroenterologie 44, no. 9 (September 2006): 981–84. http://dx.doi.org/10.1055/s-2006-926740.

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21

Abdu, Abdelmoniem, Amir Awwad, Richard O’Neill, William Tennant, and Simon Travis. "Paediatric Interventional Management of Primary Aorto-Enteric Fistula (PAEF)." CardioVascular and Interventional Radiology 41, no. 10 (March 13, 2018): 1627–29. http://dx.doi.org/10.1007/s00270-018-1914-3.

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22

Petrunić, Mladen, Tomislav Meštrović, Damir Halužan, Dražen Perkov, Mirna Golemović, and Branka Golubić – Ćepulić. "Recurrent Aortic Infections Due to Unrecognized Aorto-Enteric Fistula." Annals of Vascular Surgery 63 (February 2020): 455.e11–455.e15. http://dx.doi.org/10.1016/j.avsg.2019.07.027.

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23

Elloumi, Hanen, Ben Mrad Melek, Imen Ganzoui, Sonia Ben Hamida, Wissem Triki, Ilhem Mchirgui, Makrem Ben Hmida, Bilel Derbel, and Imed Cheikh. "Case Report: Duodenoscopy diagnosis of a secondary aorto-duodenal fistula: A case report and review of literature." F1000Research 10 (July 19, 2021): 594. http://dx.doi.org/10.12688/f1000research.54599.1.

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Secondary aorto-enteric fistula (SAEF) is a rare life-threatening complication occurring in patients with previous infrarenal aortic prosthetic reconstruction. The main symptom is a gastrointestinal bleeding. Its diagnosis is challenging due to the lack of a specific clinical signs. The failure of early diagnosis and treatment of this entity can lead to fatal issue. Actually, the abdominal computed tomography angiogram represents the principal exploration to confirm the diagnosis, but it is associated with a moderate specificity and sensibility. Duodenoscopy can highlight the communication between the duodenum and the prosthetic graft, but it is often inconclusive. We report in this manuscript a case of secondary aorto-enteric fistula revealed by occult gastrointestinal bleeding in an elderly patient who is admitted for severe anemia. The SAEF diagnosis was suspected by the computed tomography scan and confirmed by the duodenoscopy showing an exceptional image of Dacron graft protruding in the third duodenum lumen. Unfortunately, the patient died from cataclysmic shock before intervention. We overview also the rare previous published case reports concerning the endoscopic images of secondary aortoenteric fistula and we contrast our findings with those reported in the literature.
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24

Lawlor, D. K., G. DeRose, K. A. Harris, and T. L. Forbes. "Primary Aorto/Iliac-Enteric Fistula: Report of 6 New Cases." Vascular and Endovascular Surgery 38, no. 3 (May 2004): 281–86. http://dx.doi.org/10.1177/153857440403800315.

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25

Makar, R., J. Reid, A. D. Pherwani, L. C. Johnston, R. J. Hannon, B. Lee, and C. V. Soong. "Aorto-enteric Fistula Following Endovascular Repair of Abdominal Aortic Aneurysm." European Journal of Vascular and Endovascular Surgery 20, no. 6 (December 2000): 588–90. http://dx.doi.org/10.1053/ejvs.2000.1247.

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26

Tomlinson, M. A., B. Gold, M. H. Thomas, and N. G. Browning. "Endovascular Stent Graft Repair of a Recurrent Aorto-enteric Fistula." European Journal of Vascular and Endovascular Surgery 24, no. 5 (November 2002): 459–61. http://dx.doi.org/10.1053/ejvs.2002.1720.

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27

Makar, R., J. Reid, A. D. Pherwani, L. C. Johnston, R. J. Hannon, B. Lee, and C. V. Soong. "Aorto-enteric Fistula Following Endovascular Repair of Abdominal Aortic Aneurysm." EJVES Extra 2, no. 1 (July 2001): 13–14. http://dx.doi.org/10.1053/ejvx.2001.0071.

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28

Gattuso, Roberto, Bruno Gossetti, Fabrizio Benedetti-Valentini, and Plinio Rossi. "Aorto-enteric Fistula following Abdominal Aortic Aneurysms Repair by Endograft." EJVES Extra 4, no. 3 (September 2002): 48–51. http://dx.doi.org/10.1053/ejvx.2002.0171.

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29

Goonewardene, M., S. Rai, and N. Lagattolla. "Primary Aorto-enteric Fistula in a 90-year-old Male." EJVES Extra 4, no. 3 (September 2002): 52–53. http://dx.doi.org/10.1053/ejvx.2002.0172.

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30

Deriu, Giovanni P., Enzo Ballotta, and Luigi Bonavina. "Interposition of a Prosthetic Patch to Prevent Aorto-Enteric Fistula." Annals of Vascular Surgery 1, no. 4 (May 1987): 509–11. http://dx.doi.org/10.1016/s0890-5096(06)60744-9.

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31

Bajgoric, Sanjin, Harjinder Sahota, Christopher Day, Sriram Rajagopalan, and Arun Pherwani. "Primary aorto-enteric fistula: a diagnosis not to be missed." Postgraduate Medical Journal 92, no. 1086 (December 18, 2015): 243–44. http://dx.doi.org/10.1136/postgradmedj-2015-133479.

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32

Lukasiewicz and Molski. "Secondary aorto-enteric fistula - still a devastating complication of major vascular surgery." Vasa 40, no. 2 (March 1, 2011): 139–45. http://dx.doi.org/10.1024/0301-1526/a000084.

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Background: Despite advances in vascular surgery and intensive care, secondary aorto-enteric fistulas (AEF) remain a serious threat of major vascular interventions. This report summarizes our experience in the treatment of this condition. Patients and methods: Nineteen patients with secondary AEF admitted between Jan 2004 and Dec 2008 were prospectively enrolled into this cohort observational study. Nine of them presented with massive gastrointestinal bleeding and hemorrhagic shock. Results: None of the patients died preoperatively. Graft in situ replacement was performed in eight patients (42 %), extraanatomic repair in five (26 %), proximal anastomotic reconstruction in five (26 %) and aortic stump closure in one (5 %). One patient died during the operation. Twelve other patients died during hospitalization (days 1 - 100 postop). Complications occurred in 83 % of patients surviving the operation. During follow-up two further patients died suddenly, both probably due to recurrence of fistula. Overall mortality was 79 %. Four remaining patients are alive and without signs of graft infection at a mean follow-up of 45 months (34 - 57). Conclusions: AEF treatment still carries a significant mortality and morbidity. It seems that extraanatomic reconstruction is the best possible therapeutic modality provided the patient’s condition allows for a prolonged operation. We advise cautious use of the silver-coated polyester prostheses for “in situ” reconstructions in cases with AEF.
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33

Thomson, VS, KG Gopinath, E. Joseph, and G. Joseph. "Primary aorto-enteric fistula: A rare complication of abdominal aortic aneurysm." Journal of Postgraduate Medicine 55, no. 4 (2009): 267. http://dx.doi.org/10.4103/0022-3859.58930.

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34

Partovi, Sasan, Thomas Trischman, Rahul A. Sheth, Tam T. T. Huynh, Jon C. Davidson, Anand M. Prabhakar, and Suvranu Ganguli. "Imaging work-up and endovascular treatment options for aorto-enteric fistula." Cardiovascular Diagnosis and Therapy 8, S1 (April 2018): S200—S207. http://dx.doi.org/10.21037/cdt.2017.10.05.

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35

Young, O., P. Neary, and D. Mehigan. "Aorto-enteric Fistula Secondary to the Cannibalization of an Aortic Graft." EJVES Extra 8, no. 2 (August 2004): 17–19. http://dx.doi.org/10.1016/j.ejvsextra.2004.05.010.

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36

McAloon, C. J., W. B. Leong, R. Garg, and P. Narendran. "Secondary aorto-enteric fistula: a case report and review of literature." Case Reports 2009, mar08 1 (March 17, 2009): bcr0820080721. http://dx.doi.org/10.1136/bcr.08.2008.0721.

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37

Tobolski, O., D. Jones, and B. Kessler. "Primary and secondary aorto-enteric fistula within a short time interval." Gefässchirurgie 5, no. 2 (May 12, 2000): 121–24. http://dx.doi.org/10.1007/s007720050191.

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38

Wiangphoem, Nattawadee. "Secondary Aorto-Colonic Fistula: A Case Report and Literature Review of a Rare Complication after EVAR." Case Reports in Surgery 2022 (December 8, 2022): 1–5. http://dx.doi.org/10.1155/2022/8412460.

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Background: Aorto-enteric fistula (AEF) is a rare but fatal condition. The incidence of the overall AEF was approximately 0.36–2%, but the incidence of the aorto-colonic fistula was scarcely reported. A history of abdominal pain, fever, or gastrointestinal bleeding (GIB) in a patient with a history of aortic intervention should be highly suspected of this condition. This report describes a patient with lower GIB after an endovascular aneurysm repair (EVAR) for a symptomatic abdominal aortic aneurysm (AAA). Case Presentation: A 65-year-old man with a history of EVAR for symptomatic AAA presented with a massive lower GIB for two weeks. He also had a history of left lower quadrant pain and low-grade fever. Diverticular disease was suspected, and medical treatment was administered. After the initial conservative treatment, a colonoscopy was performed. The findings showed a fistula that exposed an aortic stent graft at the left-sided colon. An aorto-colonic fistula was diagnosed. After administering intravenous (IV) antibiotics, a staged axillo-bifemoral bypass graft with aortic stent graft explantation was performed. The patient recovered well and was discharged home after a month of hospitalization and IV antibiotics. Conclusion: In a patient with a history of aortic intervention, any abdominal pain, unknown fever, or even GIB should be suspected of complications of aortic intervention. Highly suspicious of this rare condition is the key to an early diagnosis and prompt treatment.
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39

Mukhopadhayay, A. K., and P. Chopra. "Diffuse non-specific aortitis with multiple saccular aneurysms and aorto-enteric fistula." Heart 54, no. 1 (July 1, 1985): 102–4. http://dx.doi.org/10.1136/hrt.54.1.102.

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40

Behrendt, Christian-Alexander, Sabine Wipper, Sebastian E. Debus, Yskert von Kodolitsch, Klaus Püschel, Michael Kammal, and Anna Kammal. "Primary aorto-enteric fistula as a rare cause of massive gastrointestinal haemorrhage." Vasa 46, no. 6 (October 1, 2017): 425–30. http://dx.doi.org/10.1024/0301-1526/a000646.

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Abstract. The incidence of primary aorto-enteric fistula (PAEF) is low with only few case reports and case series published. Depending on the location of the PAEF, the perforation leads to upper or lower gastrointestinal haemorrhages. We conducted a MEDLINE search according to the PRISMA statement. Articles with publication dates from 2000 to 2016 were included and present an own case report. We considered all case reports and series reporting on PAEF and identified 85 individual patients from 32 case reports and five case series. The majority of PAEF is associated with atherosclerotic or aneurysmatic findings of the aorta and in particular with inflammatory aortic diseases. Most commonly, the duodenum (64 %) was mentioned as location of the perforation. Other cases involved the jejunum (< 10 %) and the colon (5 %). Almost all patients were diagnosed either with gastrointestinal haemorrhage, abdominal or back pain, or anaemia due to bleeding. The immediate and correct diagnosis of this entity remains difficult. Therefore, treatment is delayed leading to an extraordinary high mortality of almost 100 % in untreated cases. Duplex ultrasound and contrast-enhanced CT angiography have high diagnostic sensitivity and specificity to rule out acute abdominal aortic pathologies. New endovascular approaches can help to lower mortality.
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41

Chopra, A., L. Cieciura, J. G. Modrall, R. J. Valentine, and J. Chung. "Twenty-Year Experience With Aorto-Enteric Fistula Repair: Gastrointestinal Complications Predict Mortality." Journal of Vascular Surgery 66, no. 5 (November 2017): 1625. http://dx.doi.org/10.1016/j.jvs.2017.08.045.

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42

Chopra, Atish, Lucyna Cieciura, J. Gregory Modrall, R. James Valentine, and Jayer Chung. "Twenty-Year Experience with Aorto-Enteric Fistula Repair: Gastrointestinal Complications Predict Mortality." Journal of the American College of Surgeons 225, no. 1 (July 2017): 9–18. http://dx.doi.org/10.1016/j.jamcollsurg.2017.01.050.

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43

Thomas, M., P. Van Loo, D. Kamali, and R. Mofidi. "Emergency Endovascular Management of a Secondary Aorto-enteric Fistula: A Case Report." EJVES Extra 26, no. 6 (December 2013): e56-e57. http://dx.doi.org/10.1016/j.ejvsextra.2013.09.002.

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44

Soota, Kaartik, Mohamad Jandali, Matthew Ferrantino, and Sandy Sorrentino. "Primary Aorto-Enteric Fistula: A Rare Clinic Entity with High Mortality Risk." American Journal of Gastroenterology 108 (October 2013): S300—S301. http://dx.doi.org/10.14309/00000434-201310001-01006.

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45

Thomas, M., P. Van Loo, D. Kamali, and R. Mofidi. "Emergency Endovascular Management of a Secondary Aorto-enteric Fistula: A Case Report." European Journal of Vascular and Endovascular Surgery 46, no. 6 (December 2013): 740. http://dx.doi.org/10.1016/j.ejvs.2013.09.017.

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46

Hill, R. A., and S. D. Blair. "Aorto-enteric fistula caused by an atheromatous plaque penetrating a Dacron graft." British Journal of Surgery 72, no. 9 (September 1985): 755. http://dx.doi.org/10.1002/bjs.1800720930.

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47

Nachmias, Boaz, Allan I. Bloom, and Alexander Gural. "Diagnostic and Management Difficulty of Bleeding Aorto-Duodenal Fistula Associated with Hodgkin’s Lymphoma." Diagnostics 11, no. 3 (February 25, 2021): 389. http://dx.doi.org/10.3390/diagnostics11030389.

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Primary aorto-enteric fistula (AEF) resulting from abdominal malignancy is a rare and often fatal complication. The few reports to date are mostly secondary to solid tumors. We present a case of a patient with refractory Hodgkin’s lymphoma who developed life-threatening AEF. We describe the diagnostic and therapeutic efforts, requiring a multi-disciplinary team of interventional radiology, gastroenterology, and transfusion medicine, resulting in a favorable outcome. Importantly, we offer several insights regarding the identification and management of high-risk patients, with an emphasis on pre-treatment considerations and urgent diagnosis and intervention.
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48

Kahlberg, A., E. Rinaldi, P. Castelli, G. Piffaretti, F. Speziale, P. Sirignano, S. Trimarchi, et al. "Aorto-Enteric Fistula following Endovascular Aortic Repair: Results from the Multicenter study on Aorto-Enteric FIstulization after STent grafting Of the abdominal aorta (MAEFISTO)." European Journal of Vascular and Endovascular Surgery 50, no. 3 (September 2015): 391. http://dx.doi.org/10.1016/j.ejvs.2015.06.031.

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49

Miyazaki, Akiko, Maromi Tachibana, Masahiko Ikebuchi, Nagahisa Tonomoto, and Shigetsugu Ohgi. "A Case of Aorto-Enteric Fistula after Reconstruction for an Abdominal Aortic Aneurysm." Japanese Journal of Cardiovascular Surgery 31, no. 3 (2002): 191–93. http://dx.doi.org/10.4326/jjcvs.31.191.

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50

Luk, TL. "Primary aorto enteric fistula a rare but life threatening condition: a case report." Cases Journal 2, no. 1 (2009): 6821. http://dx.doi.org/10.4076/1757-1626-2-6821.

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