title: Superior mesenteric artery-duodenal fistula secondary to a gunshot wound.
abstract: Arterioenteric fistulas are a rare cause of massive gastrointestinal hemorrhage. We present a patient who developed a fistula between a middle colic artery pseudoaneurysm, a proximal branch of the superior mesenteric artery (SMA), and the third part of the duodenum 2 weeks after a self-inflicted gunshot wound to the abdomen. The patient's presentation, evaluation, treatment, and prognosis are discussed. All prior published cases of SMA-duodenal fistulas are reviewed.
authors.affiliation: Division of Digestive Diseases and Nutrition in the Department of Internal Medicine (Fielding, Frandah, Flomenhoft) and the Department of Radiology (Krohmer), University of Kentucky, Lexington, Kentucky.
authors.forename: Cory M
authors.initials: CM
authors.lastname: Fielding
authors.affiliation: Division of Digestive Diseases and Nutrition in the Department of Internal Medicine (Fielding, Frandah, Flomenhoft) and the Department of Radiology (Krohmer), University of Kentucky, Lexington, Kentucky.
authors.forename: Wesam
authors.initials: W
authors.lastname: Frandah
authors.affiliation: Division of Digestive Diseases and Nutrition in the Department of Internal Medicine (Fielding, Frandah, Flomenhoft) and the Department of Radiology (Krohmer), University of Kentucky, Lexington, Kentucky.
authors.forename: Steven
authors.initials: S
authors.lastname: Krohmer
authors.affiliation: Division of Digestive Diseases and Nutrition in the Department of Internal Medicine (Fielding, Frandah, Flomenhoft) and the Department of Radiology (Krohmer), University of Kentucky, Lexington, Kentucky.
authors.forename: Deborah
authors.initials: D
authors.lastname: Flomenhoft