title: [Aorto-duodenal fistula--a rare cause of upper gastrointestinal hemorrhage].
abstract: Upper gastrointestinal hemorrhage is the most frequent indication for emergency endoscopy. In most of the cases the bleeding is primarily treated endoscopically. The duodenal penetration of an aortic graft implant is a rare condition, only accidentally diagnosed by endoscopy. This condition represents a difficult situation for the endoscopist since it is usually not included in the differential diagnosis. Additionally hemostasis can not be achieved by endoscopic intervention. Therefore the instant realization of this dangerous diagnosis is extremely important, because only surgical therapy in a center of vascular surgery may save the live of the patient.
authors.affiliation: Klinik und Poliklinik für Chirurgie, Otto-von-Guericke-Universität, Magdeburg.
authors.forename: M
authors.initials: M
authors.lastname: Pross
authors.forename: H U
authors.initials: HU
authors.lastname: Schulz
authors.forename: Z
authors.initials: Z
authors.lastname: Halloul
authors.forename: R
authors.initials: R
authors.lastname: Mantke
authors.forename: H
authors.initials: H
authors.lastname: Lippert
mesh_terms: D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000601:surgery; D001807:Blood Vessel Prosthesis; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D016099:Endoscopy, Gastrointestinal; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D011475:Prosthesis Failure; D012086:Reoperation; D016157:Vascular Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery