[Aortoduodenal fistula as the cause of gastrointestinal hemorrhage].
The aortoenteric fistula is one of the rare causes of gastrointestinal bleeding. A 73 year old patient presented with a secondary fistula after implantation of a synthetic graft. The diagnosis was confirmed by endoscopy. At elective laparotomy, a communication between the graft and the duodenum was discovered. Principally the combination of gastrointestinal bleeding and aortic graft is always suspicious of an aortoenteric fistula. The treatment must be surgical.
Adamek
H E
HE
Medizinische Klinik C, Klinikum der Stadt Ludwigshafen.
Maier
M
M
Kohler
B
B
Zurmeyer
E L
EL
Riemann
J F
JF
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001807:Blood Vessel Prosthesis; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005402:Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D013537:Sutures
Die aortoduodenale Fistel als Ursache einer gastrointestinalen Blutung.