Enteroenteric Fistulae in Acute Bowel Ischemia

Abstract

Gastrointestinal fistulae are classified as enteroenteric or enterocutaneous. Most gastrointestinal fistulae are formed after surgical procedures for inflammatory bowel disease or malignancy. For spontaneous enteroenteric fistulae, ischemia has been reported as a possible etiology. We report two cases of spontaneous enteroenteric fistulae arising after bowel ischemia; a 38-year male with a 10-day history of severe abdominal pain with fever and vomiting, and a 22-year female with a one-week history of abdominal pain and diarrhea. Arterial and venous thrombi in association with enteroenteric fistulae were identified on computed tomography. These cases point towards acute mesenteric ischemia as a rare cause of spontaneous enteroenteric fistulae. Surgical management of these fistulae can be effective in resolving this complication.