Recurrent cervical carcinoma presenting as a primary aortoduodenal fistula.
Aortoduodenal fistula is a rare cause of gastrointestinal (GI) bleeding, and carries high morbidity and mortality even in modern practice. Cervical carcinoma is a major health threat among adult women, and its recurrence is not uncommon. We herein present a case of primary aortoduodenal fistula because of recurrent cervical carcinoma. Our case demonstrated that diagnosis of primary aortoenteric fistula requires a high index of suspicion and a combination of diagnostic modalities to establish the diagnosis. Prompt diagnosis and rapid treatment are critical in reducing mortality and morbidity. Although rare, metastatic carcinoma can lead to aortoenteric fistula.
Huang
Jih-Hsin
JH
Division of Cardiovascular Surgery, Cardiovascular Center, Far Eastern Memorial Hospital, Taipei, Taiwan.
Chen
Jer-Shen
JS
Chu
Shu-Hsun
SH
Chiu
Kuan-Ming
KM
D000368:Aged; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001706:Biopsy; D002277:Carcinoma / Q000150:complications* / Q000556:secondary / Q000601:surgery; D004378:Duodenal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D009361:Neoplasm Invasiveness; D014057:Tomography, X-Ray Computed; D002583:Uterine Cervical Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D019043:Vascular Neoplasms / Q000150:complications* / Q000556:secondary / Q000601:surgery