title: Recurrent cervical carcinoma presenting as a primary aortoduodenal fistula.
abstract: 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.
authors.affiliation: Division of Cardiovascular Surgery, Cardiovascular Center, Far Eastern Memorial Hospital, Taipei, Taiwan.
authors.forename: Jih-Hsin
authors.initials: JH
authors.lastname: Huang
authors.forename: Jer-Shen
authors.initials: JS
authors.lastname: Chen
authors.forename: Shu-Hsun
authors.initials: SH
authors.lastname: Chu
authors.forename: Kuan-Ming
authors.initials: KM
authors.lastname: Chiu
mesh_terms: 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