Primary aortoduodenal fistula: Pitfalls and success in the endoscopic diagnosis

Jorge Delgado, Alan B. Jotkowitz, Bertha Delgado, Victoria Makarov, Solly Mizrahi, Gabriel Szendro

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


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 languageEnglish
Pages (from-to)363-365
Number of pages3
JournalEuropean Journal of Internal Medicine
Issue number5
StatePublished - 1 Sep 2005


  • Abdominal aortic aneurysm
  • Primary aortoenteric fistula
  • Upper gastrointestinal bleeding

ASJC Scopus subject areas

  • Internal Medicine


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