Abstract
Primary aortoenteric fistula is a rare but catastrophic cause of gastrointestinal bleeding. The diagnosis of primary aortoenteric fistula is difficult to make and is usually accompanied by a very high level of clinical suspicion. It should be considered in any elderly patient presenting with upper gastrointestinal bleeding in the context of a known abdominal aortic aneurysm. Prompt surgical intervention is necessary. We present the case of a 78-year-old man with a history of atherosclerotic abdominal aortic aneurysm which is presented with massive upper gastrointestinal bleeding due to a primary aortoduodenal fistula. Initial misdiagnosis led to a delay in treatment and the patient succumbed to the illness.
Original language | English |
---|---|
Pages (from-to) | 363-365 |
Number of pages | 3 |
Journal | European Journal of Internal Medicine |
Volume | 16 |
Issue number | 5 |
DOIs | |
State | Published - 1 Sep 2005 |
Keywords
- Abdominal aortic aneurysm
- Primary aortoenteric fistula
- Upper gastrointestinal bleeding
ASJC Scopus subject areas
- Internal Medicine