[Digestive hemorrhage as the first symptom of a rupture of an abdominal aortic aneurysm].
Primary aortoduodenal fistula is an uncommon complication of abdominal aortic aneurysm and is a rare cause of gastrointestinal bleeding. A case of primary arterioenteric fistula due to the rupture of an abdominal aortic aneurysm into the third portion of the duodenum is presented. Aneurysmectomy, duodenal repair, and extra-anatomic revascularization of the legs was performed. Diagnosis of primary aortoenteric fistula is difficult. The usual explorations are not demonstrative, and exploratory laparotomy is often mandatory.
Martínez Pérez
M
M
Servicio de Angiología y Cirugía Vascular, Hospital General de Galicia, Facultad de Medicina, Santiago de Compostela.
Senín Fernández
E
E
Barreiro Morandeira
F
F
Pintos Díaz
G
G
D001012:Aorta, Abdominal; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D001019:Aortic Rupture / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D004378:Duodenal Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D004630:Emergencies; D005402:Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged