Hepatic-pericardial fistulas are extremely rare complications typically arising from hepatic abscesses, trauma, or invasive procedures. These fistulas can lead to clinical manifestations such as pericarditis, … Read More
Category: General
Aortoenteric fistula following elective laparoscopic cholecystectomy
J Vasc Surg Cases Innov Tech. 2025 Feb 25;11(3):101761. doi: 10.1016/j.jvscit.2025.101761. eCollection 2025 Jun.
ABSTRACT
We present the case of a 71-year-old woman with gastrointestinal bleeding 21 days after undergoing elective laparoscopic cholecystectomy. Initial imaging revealed a pseudoaneurysm of nonaneurysmal infrarenal aorta, managed with an endovascular stent graft. Despite this procedure, recurrent gastrointestinal bleeding persisted, prompting further imaging that identified an aortoenteric fistula complicated by endograft infection. The fistula likely resulted from an iatrogenic injury caused by trocar entry during the cholecystectomy. Definitive surgical repair involved resection of the infected endograft and reconstruction with a bovine pericardium conduit. This case highlights the diagnostic challenges of aortoenteric fistulas, endograft infection risks, and considerations in selecting conduits for reconstruction.
PMID:40230832 | PMC:PMC11994957 | DOI:10.1016/j.jvscit.2025.101761
CYBB identified as a key immune hub gene linking lung cancer and atrial fibrillation
The proportion of patients with lung cancer complicated by atrial fibrillation (AF) is increasing. Identifying shared molecular targets between these two conditions may provide important prognostic insights fo… Read More
CYBB identified as a key immune hub gene linking lung cancer and atrial fibrillation
The proportion of patients with lung cancer complicated by atrial fibrillation (AF) is increasing. Identifying shared molecular targets between these two conditions may provide important prognostic insights fo… Read More
microRNA-196b-5p expression in cancer tissues is closely associated with clinical and pathological characteristics and prognosis of patients with non-small cell lung cancer
Non-small cell lung cancer (NSCLC) poses great mortality globally. Aberrant microRNA (miRNA/miR) expression is linked to the progression of many cancers. Herein, this study explored the association of miR-196b… Read More
The diameter of sinotubular junction to body surface area is independently associated with incident acute type a aortic dissection
The main aim of this study is to measure and calculate the ratio of sinotubular junction diameter to body surface area (RDA) in patients with acute type A aortic dissection (ATAAD) and normal subjects, and to … Read More
CYBB identified as a key immune hub gene linking lung cancer and atrial fibrillation
The proportion of patients with lung cancer complicated by atrial fibrillation (AF) is increasing. Identifying shared molecular targets between these two conditions may provide important prognostic insights fo… Read More
Early postoperative atrial fibrillation is associated with late mortality after cardiac surgery: a systematic review and reconstructed individual patient data meta-analysis
Early postoperative atrial fibrillation (early-POAF) is the most common complication after cardiac surgery. Although prior studies have demonstrated an association between early-POAF and late outcomes, it is q… Read More
Aortoenteric fistula following elective laparoscopic cholecystectomy
J Vasc Surg Cases Innov Tech. 2025 Feb 25;11(3):101761. doi: 10.1016/j.jvscit.2025.101761. eCollection 2025 Jun.
ABSTRACT
We present the case of a 71-year-old woman with gastrointestinal bleeding 21 days after undergoing elective laparoscopic cholecystectomy. Initial imaging revealed a pseudoaneurysm of nonaneurysmal infrarenal aorta, managed with an endovascular stent graft. Despite this procedure, recurrent gastrointestinal bleeding persisted, prompting further imaging that identified an aortoenteric fistula complicated by endograft infection. The fistula likely resulted from an iatrogenic injury caused by trocar entry during the cholecystectomy. Definitive surgical repair involved resection of the infected endograft and reconstruction with a bovine pericardium conduit. This case highlights the diagnostic challenges of aortoenteric fistulas, endograft infection risks, and considerations in selecting conduits for reconstruction.
PMID:40230832 | PMC:PMC11994957 | DOI:10.1016/j.jvscit.2025.101761
Rare case of a massive anterior mediastinal schwannoma causing cardiac compression with concurrent cervical spine lesion causing spinal cord compression
Schwannoma is the most common neurogenic tumor in the posterior mediastinum, however it is rarely found in the anterior mediastinum (Mediastinum 4, 2020; Radiat Med 13(4):175-7). We report a large anterior med… Read More