title: Primary aorto-duodenal fistula.
abstract: Primary aorto-duodenal fistula is a rare and life-threatening cause of upper gastro-intestinal bleed. In this case report, a patient presented acutely with several episodes of haematochezia and pulseless lower limbs bilaterally. Primary aorto-duodenal fistula with peripheral vascular disease was diagnosed after an urgent CT angiogram was performed. She underwent left axillo-bifemoral bypass, resection of the fistula, Rouxen-Y gastro-jejunostomy, pyloric exclusion and controlled duodenal fistula the following day.
authors.affiliation: Department of General Surgery, Hospital Kuala Lumpur, Jalan Pahang, 50586, Kuala Lumpur.
authors.forename: K A
authors.initials: KA
authors.lastname: Muhsein
authors.forename: I
authors.initials: I
authors.lastname: Suib
authors.forename: H
authors.initials: H
authors.lastname: Hanif
mesh_terms: D000368:Aged; D001018:Aortic Diseases / Q000175:diagnosis*; D004378:Duodenal Diseases / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis*