Tuberculous aortitis presenting with an aortoduodenal fistula: a case report.
An elderly man with tuberculous aortitis presented with massive gastrointestinal bleeding resulting from an aortoduodenal fistula. Aortic resection was successful, and he has done well over a 12 year period. The organism was recovered from the aorta and also seen on section of the neighboring lymph nodes. Although tuberculous aortitis is rare, it should be considered in a patient with prior history of tuberculosis who has developed evidence of aortic disease, aneurysm, or massive gastrointestinal bleeding.
D000368:Aged; D001018:Aortic Diseases / Q000150:complications* / Q000601:surgery; D001025:Aortitis / Q000150:complications* / Q000601:surgery; D004378:Duodenal Diseases / Q000150:complications* / Q000601:surgery; D005402:Fistula / Q000150:complications / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications* / Q000601:surgery; D008297:Male; D014381:Tuberculosis, Cardiovascular / Q000150:complications* / Q000601:surgery