Primary aortojejunal fistula due to foreign body: a rare cause of gastrointestinal bleeding.
Primary and secondary aortoenteric fistulae are infrequent causes of gastrointestinal bleeding. We report a rare case of a 49-year-old man with bleeding due to an aortojejunal fistula caused by a foreign body. This is the fifth case in the literature in which a foreign body was found to be associated with the development of an aortoenteric fistula. Our patient presented with two herald bleeds with an interval time of 1 week; in previous cases, only one herald bleed has been reported. In addition to the usual resuscitation measures, the patient was treated with primary repair of the small-intestine defect and replacement of the aneurysm with a prosthetic aortic graft. He remains in excellent health thereafter.
Sevastos
Nikolaos
N
Academic Department of Medicine, Hippokration General Hospital, 114 Vas. Sofias ave., 11527 Athens, Greece.
Rafailidis
Petros
P
Kolokotronis
Kyriakos
K
Papadimitriou
Konstantina
K
Papatheodoridis
George V
GV
D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000150:complications*; D005547:Foreign Bodies / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications*; D007579:Jejunal Diseases / Q000150:complications*; D007583:Jejunum; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D016157:Vascular Fistula / Q000150:complications*