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Article
October 1984

Survival Following Aggressive Treatment of Secondary Aortocolonic Fistula

Author Affiliations

USAF; USAF; USAF
From the Vascular Surgery Service, Department of General Surgery, Wilford Hall USAF Medical Center, Lackland AFB, Tex.

Arch Surg. 1984;119(10):1208-1209. doi:10.1001/archsurg.1984.01390220082019
Abstract

• Secondary aortocolonic fistula is an uncommon complication of prosthetic aortic grafts; apparently there have been only two previously described long-term survivors. We describe a long-term survivor with this complication in which preoperative computed tomographic scanning and percutaneous abscess drainage allowed early diagnosis and intervention and contributed to optimal treatment and survival. Adherence to time-honored principles of abscess drainage and graft removal, followed by extra-anatomic bypass when indicated, are essential to successful treatment.

(Arch Surg 1984;119:1208-1209)

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