Lower intestinal bleeding due to aorto-enteric fistula.
The case is described of a man who complained of intermittent fever and fatigue. After three digestive endoscopies and computed tomography, a 99m technetium-HM-PAO-labelled white cell scan was usefully employed to establish diagnosis. Anaerobic aortic Graft infection and anaemia due to lower intermittent occult intestinal bleeding were found. The intestinal bleeding was caused by secondary aorto-jejunal fistula. This condition is rare, but should be suspected whenever a patient with aortic prosthesis presents with occult digestive bleeding and unexplained fever.
Maiolo
C
C
Division of Internal Medicine, S. Andrea Hospital, Vercelli, Italy.
Caprioglio
S
S
Cadario
G
G
De Lorenzo
A
A
D000368:Aged; D001018:Aortic Diseases / Q000150:complications / Q000175:diagnosis*; D001807:Blood Vessel Prosthesis / Q000382:microbiology*; D016099:Endoscopy, Gastrointestinal; D004926:Escherichia coli / Q000302:isolation & purification*; D004927:Escherichia coli Infections / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000175:diagnosis*; D007579:Jejunal Diseases / Q000150:complications / Q000175:diagnosis*; D008297:Male; D011183:Postoperative Complications; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000150:complications*; D011877:Radionuclide Imaging; D013667:Technetium
D013667:Technetium