title: [A case of graft-duodenal fistula 25 years after operation for aortic coarctation].
abstract: A 40-year-old man who underwent extra-anatomical bypass for aortic coarctation 25 years ago was admitted to another hospital with hematemesis and melena. Esophagogastroduodenoscopy revealed no bleeding site in the stomach or the first and second portion of the duodenum. He was transferred to our hospital due to hemorrhagic shock. Angiography showed the extravasation of the contrast medium from the graft. Emergency operation was performed due to graft-duodenal fistula. In patients with previous aortic graft surgery and present gastrointestinal bleeding, graft-enteric fistula should be suspected.
authors.affiliation: Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Japan.
authors.forename: Yushi
authors.initials: Y
authors.lastname: Okada
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Yoshimura
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Tatsuta
authors.forename: Hirotake
authors.initials: H
authors.lastname: Sakuraba
authors.forename: Norihiro
authors.initials: N
authors.lastname: Hanabata
authors.forename: Tadashi
authors.initials: T
authors.lastname: Shimoyama
authors.forename: Shinsaku
authors.initials: S
authors.lastname: Fukuda
mesh_terms: D000328:Adult; D001017:Aortic Coarctation / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D004378:Duodenal Diseases / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D008297:Male; D011183:Postoperative Complications; D013997:Time Factors; D016157:Vascular Fistula / Q000209:etiology