title: Secondary aorto-enteric fistula presenting over a 2-month period with recurrent gastrointestinal bleeding.
abstract: A female in her sixties presented with recurrent gastrointestinal bleeding over a two-month period requiring multiple hospital admissions. Inconclusive upper and lower gastrointestinal endoscopies in addition to an initial negative CT angiogram initially left the diagnosis uncertain. A subsequent catastrophic bleed prompted a further CT angiogram that demonstrated a fistula between the aorta and third part of the duodenum with active contrast extravasation. Emergency surgery was carried out but ultimately the patient did not survive.
authors.affiliation: Department of General Surgery, Epsom and St Helier University Hospitals NHS Trust, Isleworth, Middlesex, UK. karim@jamal.uk.com
authors.forename: K
authors.initials: K
authors.lastname: Jamal
authors.forename: S
authors.initials: S
authors.lastname: Shaunak
authors.forename: S
authors.initials: S
authors.lastname: Kalsi
authors.forename: D
authors.initials: D
authors.lastname: Nehra
mesh_terms: D001018:Aortic Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D004378:Duodenal Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D016157:Vascular Fistula / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery