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{
    "pk": 1053,
    "title": "Under the Radar: A Case Report of a Missed Aortoenteric Fistula",
    "subtitle": null,
    "abstract": "Introduction:\n An aortoenteric fistula (AEF) is an abnormal connection between the aorta and the gastrointestinal tract that develops due to a pathologic cause. It is a rare, but life-threatening, cause of gastrointestinal (GI) bleeding. Although no single imaging modality exists that definitively diagnoses AEF, computed tomography angiography (CTA) of the abdomen and pelvis is the preferred initial test due to widespread availability and efficiency. \nCase Report:\n Many deaths occur before the diagnosis is made or prior to surgical intervention. We describe a case of a patient with a history of aortic graft repair who presented with active GI bleeding.\nConclusion:\n Although CTA can make the diagnosis of AEF, it cannot adequately rule it out. In patients with significant GI bleeding and prior history of aortic surgery, vascular surgery should be consulted early on, even if CTA is equivocal.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Vascular surgery"
        },
        {
            "word": "aortoenteric fistula"
        },
        {
            "word": "radiology"
        },
        {
            "word": "gastrointestinal bleeding"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/20249716",
    "frozenauthors": [
        {
            "first_name": "Blake",
            "middle_name": "",
            "last_name": "Briggs",
            "name_suffix": "",
            "institution": "University of South Alabama, Department of Emergency Medicine, Mobile, Alabama",
            "department": "None"
        },
        {
            "first_name": "David",
            "middle_name": "",
            "last_name": "Manthey",
            "name_suffix": "",
            "institution": "Wake Forest University, Department of Emergency Medicine, Winston-Salem, North Carolina",
            "department": "None"
        }
    ],
    "date_submitted": "2021-07-27T16:18:02-04:00",
    "date_accepted": "2021-07-27T16:18:02-04:00",
    "date_published": "2021-07-27T16:18:35-04:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1053/galley/795/download/"
        }
    ]
}