Aortogastric fistula from hiatal hernia ulcer. A cause of massive upper gastrointestinal bleeding.
An 83-year-old woman with no history of vascular surgery presented with a fatal upper gastrointestinal bleed from an aortogastric fistula secondary to a penetrating gastric ulcer. The fistula was between the thoracic aorta and the gastric ulcer in a hiatus hernia. On autopsy, a discrete 1-cm ulcer had perforated into the otherwise normal thoracic aorta. Aortogastric fistula involving the thoracic aorta and a gastric ulcer is rare in the absence of vascular graft surgery or aneurysm. We review the pertinent literature.
Kielhofner
M A
MA
Blue V Unit, University of Missouri-Kansas City School of Medicine 64108.
Schnell
G
G
Schubert
T T
TT
Kebede-Daniels
D
D
D000368:Aged; D000369:Aged, 80 and over; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000150:complications / Q000209:etiology*; D005260:Female; D005402:Fistula / Q000150:complications / Q000209:etiology*; D005747:Gastric Fistula / Q000150:complications / Q000209:etiology*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006548:Hernia, Diaphragmatic / Q000150:complications*; D006551:Hernia, Hiatal / Q000150:complications*; D006801:Humans; D013276:Stomach Ulcer / Q000150:complications*