Enigma of primary aortoduodenal fistula

Miklosh Bala, Jacob Sosna, Liat Appelbaum, Eran Israeli, Araham I. Rivkind

Research output: Contribution to journalArticlepeer-review

Abstract

A diagnosis of primary aortoenteric fistula is difficult to make despite a high level of clinical suspicion. It should be considered in any elderly patient who presents with upper gastrointestinal bleeding in the context of a known abdominal aortic aneurysm. We present the case of young man with no history of abdominal aortic aneurysm who presented with massive upper gastrointestinal bleeding. Initial misdiagnosis led to a delay in treatment and the patient succumbing to the illness. This case is unique in that the fistula formed as a result of complex atherosclerotic disease of the abdominal aorta, and not from an aneurysm.

Original languageEnglish
Pages (from-to)3191-3193
Number of pages3
JournalWorld Journal of Gastroenterology
Volume15
Issue number25
DOIs
StatePublished - 7 Jul 2009
Externally publishedYes

Keywords

  • Aortoduodenal fistula
  • Aortography
  • Computed tomography
  • Gastrointestinal hemorrhage

Fingerprint

Dive into the research topics of 'Enigma of primary aortoduodenal fistula'. Together they form a unique fingerprint.

Cite this