Primary aortoduodenal fistula – overlooked because of guidelines?

Innovative Surgical Science

Croner Roland¹  Siebler Jürgen²  Neufert Clemens²  Grützmann Robert³  Wiesmueller Felix³  Lang Werner⁴ 

[1] Department of General, Visceral, Vascular and Graft Surgery, University Hospital Magdeburg, Otto-von-Guericke University of Magdeburg, Magdeburg, Germany;Department of Internal Medicine I, University Hospital Erlangen, Friedrich-Alexander-University of Erlangen-Nuremberg (FAU), Erlangen, Germany;Department of Surgery, University Hospital Erlangen, Friedrich-Alexander-University of Erlangen-Nuremberg (FAU), Erlangen, Germany;Department of Vascular Surgery, University Hospital Erlangen, Friedrich-Alexander-University of Erlangen-Nuremberg (FAU), Erlangen, Germany;

关键词: aortoduodenal fistula;    aortoenteric fistula;    gastrointestinal bleeding;    padf;    primary aortoduodenal fistula;   

DOI  :  10.1515/iss-2020-0007

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown