title: Primary aortoduodenal fistula in combination with aortoiliac occlusive disease: report of a rare case.
abstract: Most of the cases of aortoenteric fistula are due to aneurysm of the aorta, although infection, tumor, radiotherapy, gastric ulcers and foreign body ingestion have also been described in the literature. We report the case of a 62-year-old woman presenting with massive gastrointestinal bleeding with hematemesis and melaena. This case is unique in that the primary aortoduodenal (PADF) fistula formed as a result of complex atherosclerotic disease of the abdominal aorta and both iliacal arteries, also known as Leriche's syndrome, and not primarily due to an aneurysm. We will give a brief summary of the difficulties and challenges which the surgeon faced during the operation and a surprisingly uneventful postoperative course.
authors.affiliation: Department of Surgery, Amphia Hospital, Breda, The Netherlands.
authors.forename: F
authors.initials: F
authors.lastname: Azizi
authors.forename: B L
authors.initials: BL
authors.lastname: Reichman
authors.forename: H G W
authors.initials: HG
authors.lastname: De Groot
authors.forename: L
authors.initials: L
authors.lastname: Van der Laan
mesh_terms: D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003251:Constriction, Pathologic; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007925:Leriche Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D008551:Melena / Q000209:etiology; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome