title: Tuberculous aortitis with an aortoduodenal fistula presenting as recurrent gastrointestinal bleeding.
abstract: Tuberculous aortitis with a tuberculous mycotic aneurysm and an aortoduodenal fistula was diagnosed in a 38-year-old man with tuberculous cervical lymphadentitis and a 3-month history of recurrent gastrointestinal bleeding, in whom extensive investigation of the digestive tract had not revealed a bleeding lesion. Either by septic embolism or by direct extension from a neighboring focus, tuberculous infection can cause a mycotic aortic aneurysm with subsequent fistulation to the duodenum.
authors.affiliation: Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands. E.J.F.M.de_Kruijf@lumc.nl
authors.forename: E J
authors.initials: EJ
authors.lastname: de Kruijf
authors.forename: A B
authors.initials: AB
authors.lastname: van Rijn
authors.forename: I A
authors.initials: IA
authors.lastname: Koelma
authors.forename: T J
authors.initials: TJ
authors.lastname: Kuijpers
authors.forename: J W
authors.initials: JW
authors.lastname: van 't Wout
mesh_terms: D000328:Adult; D001025:Aortitis / Q000150:complications / Q000473:pathology*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000473:pathology*; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000473:pathology*; D008297:Male; D012008:Recurrence; D014381:Tuberculosis, Cardiovascular / Q000150:complications / Q000473:pathology*; D016157:Vascular Fistula / Q000150:complications / Q000473:pathology*