Tuberculous aortitis with an aortoduodenal fistula presenting as recurrent gastrointestinal bleeding.
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.
de Kruijf
E J
EJ
Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands. E.J.F.M.de_Kruijf@lumc.nl
van Rijn
A B
AB
Koelma
I A
IA
Kuijpers
T J
TJ
van 't Wout
J W
JW
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*