scholarly journals Primary aortoduodenal fistula without an abdominal aortic aneurysm: A case report

2020 ◽  
Vol 73 (5-6) ◽  
pp. 180-182
Author(s):  
Slobodan Torbica

Introduction. Aortoenteric fistula is a communication between the aorta and segments of the gastrointestinal tract. Primary aortoduodenal fistula is an extremely rare cause of gastrointestinal bleeding associated with a high mortality rate. Case Report. We report a case of a 63-year-old man admitted due to abdominal pain lasting for a week. Abdominal ultrasound and computed tomography angiography revealed an aortoduodenal fistula without an aortic aneurysm. Conclusion. This case is an example of a rare cause of gastrointestinal bleeding, as well as presentation of aortoduodenal fistula that was not caused by an abdominal aortic aneurysm.

2019 ◽  
Vol 7 ◽  
pp. 232470961986557
Author(s):  
Asim Kichloo ◽  
M. Zatmar Khan ◽  
El-Amir Zain ◽  
Navya Sree Vipparla ◽  
Farah Wani

Abdominal aortic aneurysm (AAA) is one of the important pathologies involving the abdominal aorta, as it can have adverse consequences if it goes unnoticed or untreated. AAA is defined as an abnormal dilation of the abdominal aorta 3 cm or greater. Endovascular abdominal aortic aneurysm repair (EVAR) has recently emerged as a treatment modality for AAA. It does have a few inherent complications that include endoleak, endograft migration, bleeding, ischemia, and compartment syndrome. This case report discusses a patient who came in with abdominal pain and a pulsatile mass, which raised concerns regarding endoleak. The patient had a 9.9-cm AAA, which was repaired in the past, as was made evident by computed tomography findings of the stent graft in the aneurysmal segment. This case stands out because it highlights the importance of comparing the size of the AAA at the time of the EVAR to the current scenario where the patient presents with abdominal pain of unknown etiology. Also, this case report highlights the importance of computed tomography and other imaging forms in following-up with patients who have EVAR for AAAs.


2008 ◽  
Vol 2 ◽  
pp. CCRPM.S376
Author(s):  
Tasbirul Islam ◽  
George Hines ◽  
Douglas S. Katz ◽  
William Purtil ◽  
Francis Castiller

We present a patient with gastrointestinal bleeding secondary to an aortoduodenal fistula. The patient had undergone an open surgical repair of an abdominal aortic aneurysm five years prior to admission.


2018 ◽  
Vol 3 (4) ◽  

Background Primary aortoduodenal fistula (PADF) is a rare, serious complication of abdominal aortic aneurysm (AAA). Frequently the diagnosis is missed due to the rarity of disease. Case description A 76 year old, Male referred to GIT center in our hospital suffering from severe upper gastrointestinal bleeding and melena. All investigation appears normal apart from elevated blood urea with 3 sessions of upper GIT endoscopy by expert GI Physician with no evidence of cause for the bleeding (he put in her mind Dieulaphoy lesion).


Sign in / Sign up

Export Citation Format

Share Document