Spontaneous aortoduodenal fistula. Report of a case.
Spontaneous aortoduodenal fistula is a rare disease. The characteristic clinical picture is a pulsating tumour in the upper abdomen, repeated moderate haemorrhages often combined with severe epigastralgia. The patient very seldom succumbs because of a large first haemorrhage, and there is often time for roentgenologic examinations. The present paper described a case where the diagnosis could not be established until autopsy in spite of angiographic investigation because of clinical suspicion. The only way to treat a patient with any hope of curing him is to perform a grafting of the aorta and suture of the duodenum.
D000368:Aged; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D001344:Autopsy; D004378:Duodenal Diseases / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D005402:Fistula / Q000175:diagnosis; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D008297:Male