title: [Primary aortoduodenal fistula: risk of fatal bleeding].
abstract: A primary aortoduodenal fistula is a life-threatening cause of haematemesis. Early recognition is essential for the prevention of complications and death. We describe the case of an 82-year-old man with acute haematemesis and melaena resulting from this condition. The diagnostic procedures included a gastroduodenoscopy and computed tomography angiography (CTA). The fistula was surgically removed, with neighbouring parts of the duodenum and aorta. The duodenum was closed by a simple anastomosis; the aorta by the introduction of a Dacron graft. The postoperative course was uneventful. Surgical intervention is the treatment of choice in patients with an aortoduodenal fistula.
authors: Orbis Medisch Centrum, Afd. Heelkunde, Sittard-Geleen, The Netherlands. janelderman@hotmail.com
authors: Jan H
authors: JH
authors: Elderman
authors: Tom M H
authors: TM
authors: De Jaegere
authors: Jolanda M L G
authors: JM
authors: Gehlen
mesh_terms: D000369:Aged, 80 and over; D001012:Aorta, Abdominal / Q000473:pathology; D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014656:Vascular Surgical Procedures