title: Gastro-aortic fistula: an uncommon complication of Nissen fundoplication.
abstract: 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.
authors.affiliation: Department of General Surgery, William Beaumont Hospital, Royal Oak, Michigan 48073, USA.
authors.forename: H
authors.initials: H
authors.lastname: Wasvary
authors.forename: G
authors.initials: G
authors.lastname: Wease
authors.forename: T
authors.initials: T
authors.lastname: Bierema
authors.forename: J
authors.initials: J
authors.lastname: Glover
mesh_terms: 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