Innovative Surgical Sciences (Oct 2020)

Primary aortoduodenal fistula – overlooked because of guidelines?

  • Wiesmueller Felix,
  • Neufert Clemens,
  • Siebler Jürgen,
  • Croner Roland,
  • Lang Werner,
  • Grützmann Robert

DOI
https://doi.org/10.1515/iss-2020-0007
Journal volume & issue
Vol. 5, no. 3-4
pp. 133 – 136

Abstract

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Primary aortoduodenal fistula is an uncommon yet mostly lethal finding. We present a case of a 63 year-old male who exhibited significant upper gastrointestinal bleeding and hemorrhagic shock. Repeated endoscopies did not detect any source of bleeding. Emergency laparotomy disclosed an aortoduodenal fistula. Despite intense medical efforts for several months the patient did not fully recover and treatment was limited to palliative care. In light of the substantial mortality associated with this condition, computed tomography imaging should be performed in case of doubt to prevent delayed diagnosis.

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