Journal
WORLD JOURNAL OF GASTROENTEROLOGY
Volume 15, Issue 25, Pages 3191-3193Publisher
W J G PRESS
DOI: 10.3748/wjg.15.3191
Keywords
Aortoduodenal fistula; Gastrointestinal hemorrhage; Computed tomography; Aortography
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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. (C) 2009 The WIG Press and Baishideng. All rights reserved
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