What question did this study set out to answer?

To evaluate clinical presentations, management strategies, and outcomes of aortoenteric fistulas at a tertiary center while proposing a diagnostic classification framework.

September 18, 2026Medical SciencesOpen Access

Insights on Aortoenteric Fistulas from a Tertiary Referral Center: Diagnostic Algorithm, Management and Outcomes

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Authors

HAHassan Al‐Thani KAKhalid Ahmed AEAyman El‐Menyar

Discussion

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Overview

Retrospective case series reveals high mortality and severe bleeding in aortoenteric fistula patients, highlighting the critical need for rapid diagnosis and multidisciplinary surgical care.

Key Points

To evaluate clinical presentations, management strategies, and outcomes of aortoenteric fistulas at a tertiary center while proposing a diagnostic classification framework.
Retrospective, descriptive, single-center case series evaluating N=10 consecutive patients presenting with aortoenteric fistulas between 2008 and 2024 at a tertiary hospital in Qatar.
Extracted clinical presentations, operative details, and microbial profiles from electronic medical records alongside a review of relevant literature over the past two decades.
Presentations primarily involved hypotension and upper gastrointestinal bleeding among 6 aortoduodenal and 4 aortoesophageal fistulas, with 4 cases exhibiting positive blood cultures.
Treatment strategies involved thoracic endovascular aortic repair in 2 patients and open surgery in the remainder, while 2 patients died of hypovolemic shock prior to completing surgical repair.
Overall fistula-related mortality was 60% (n=6), with all recorded deaths occurring within the open surgery group.

Cite This Study

Al‐Thani et al. (2026) studied this question.

synapsesocial.com/papers/6aad0b72de0393d728b89b7f https://doi.org/10.3390/medsci14050578

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September 18, 2026Medical SciencesOpen Access

Insights on Aortoenteric Fistulas from a Tertiary Referral Center: Diagnostic Algorithm, Management and Outcomes

View Full Paper

Ask AI

Bookmark

Authors

HAHassan Al‐Thani KAKhalid Ahmed AEAyman El‐Menyar

Discussion

Member takes

Overview

Retrospective case series reveals high mortality and severe bleeding in aortoenteric fistula patients, highlighting the critical need for rapid diagnosis and multidisciplinary surgical care.

Key Points

To evaluate clinical presentations, management strategies, and outcomes of aortoenteric fistulas at a tertiary center while proposing a diagnostic classification framework.
Retrospective, descriptive, single-center case series evaluating N=10 consecutive patients presenting with aortoenteric fistulas between 2008 and 2024 at a tertiary hospital in Qatar.
Extracted clinical presentations, operative details, and microbial profiles from electronic medical records alongside a review of relevant literature over the past two decades.
Presentations primarily involved hypotension and upper gastrointestinal bleeding among 6 aortoduodenal and 4 aortoesophageal fistulas, with 4 cases exhibiting positive blood cultures.
Treatment strategies involved thoracic endovascular aortic repair in 2 patients and open surgery in the remainder, while 2 patients died of hypovolemic shock prior to completing surgical repair.
Overall fistula-related mortality was 60% (n=6), with all recorded deaths occurring within the open surgery group.

Cite This Study

Al‐Thani et al. (2026) studied this question.

synapsesocial.com/papers/6aad0b72de0393d728b89b7f https://doi.org/10.3390/medsci14050578

View Full Paper

Ask AI

Bookmark