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  • Title: Vertebral Osteophyte as Possible Etiology of Aortoenteric Fistula.
    Author: Janko M, Ciocca RG, Hacker RI.
    Journal: Ann Vasc Surg; 2018 May; 49():313.e5-313.e7. PubMed ID: 29421413.
    Abstract:
    Aortoenteric fistula (AEF) and aortoenteric erosion (AEE) are deadly and difficult to diagnose. We present here a case report of a patient with a delayed diagnosis of AEF whose preoperative imaging revealed a large vertebral osteophyte which likely directed the aortic impulse into the duodenum. We believe this is the first report documenting an anatomical explanation for AEF/AEE and conclude that the presence of vertebral osteophytes should be considered a risk factor when assessing preoperative likelihood of AEF/AEE.
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