Gastro-aortic fistula: an uncommon complication of Nissen fundoplication.
We report a case of and review the literature concerning primary gastro-aortic fistula secondary to erosion of a gastric ulcer into the thoracic aorta in a patient with a previous Nissen fundoplication. Treatment consisted of excision of the fistula with closure of the gastric and aortic defects. This rare cause of upper gastrointestinal bleeding is life threatening, and a high level of suspicion is necessary to make the diagnosis and initiate early, aggressive surgical treatment.
Wasvary
H
H
Department of General Surgery, William Beaumont Hospital, Royal Oak, Michigan 48073, USA.
Wease
G
G
Bierema
T
T
Glover
J
J
D001018:Aortic Diseases / Q000150:complications / Q000209:etiology* / Q000601:surgery; D017809:Fatal Outcome; D005402:Fistula / Q000150:complications / Q000209:etiology* / Q000601:surgery; D018662:Fundoplication / Q000009:adverse effects*; D005747:Gastric Fistula / Q000150:complications / Q000209:etiology* / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013276:Stomach Ulcer / Q000150:complications