Primary aortoduodenal fistula due to a swallowed sewing needle: a rare cause of gastrointestinal bleeding.
A primary fistula between the abdominal aorta and the duodenum is rare and usually fatal. Atherosclerosis remains the most common etiologic factor, accounting for more than two-thirds of the cases reported. Other etiologies include carcinoma, ulcers, radiation, aortitis and foreign bodies including sewing needle, cocktail stick, open safety pin and fishbone. We report a case of a 17 year-old girl who underwent surgical treatment because of severe upper gastrointestinal bleeding which was related to an aortoduodenal fistula caused by a swallowed sewing needle. At operation, a chronic aortoduodenal fistula that contained the sewing needle was found and repaired. This is the fourth case in the literature in which a needle was found to be associated with the development of an aortoenteric fistula.
Department of General Surgery, Medicine Faculty of Yüzüncü Yil University, Van, Turkey.
Murat
M
Başer
Hasan
H
Arslantürk
Erol
E
Kisli
Murat
M
Arslan
Tuncer
T
Oztürk
Ismail
I
Uygan
Cetin
C
Kotan
D000293:Adolescent; D001018:Aortic Diseases / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D004386:Duodenum / Q000473:pathology; D005260:Female; D005549:Foreign-Body Reaction / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D011859:Radiography; D019616:Thoracic Surgical Procedures