TY - JOUR
T1 - Primary aortoduodenal fistula
T2 - Pitfalls and success in the endoscopic diagnosis
AU - Delgado, Jorge
AU - Jotkowitz, Alan B.
AU - Delgado, Bertha
AU - Makarov, Victoria
AU - Mizrahi, Solly
AU - Szendro, Gabriel
PY - 2005/9/1
Y1 - 2005/9/1
N2 - 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.
AB - 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.
KW - Abdominal aortic aneurysm
KW - Primary aortoenteric fistula
KW - Upper gastrointestinal bleeding
UR - http://www.scopus.com/inward/record.url?scp=28744436273&partnerID=8YFLogxK
U2 - 10.1016/j.ejim.2005.01.018
DO - 10.1016/j.ejim.2005.01.018
M3 - Article
AN - SCOPUS:28744436273
SN - 0953-6205
VL - 16
SP - 363
EP - 365
JO - European Journal of Internal Medicine
JF - European Journal of Internal Medicine
IS - 5
ER -