title: Primary aortoduodenal fistula: a rare entity with lethal effects.
abstract: Primary aortoduodenal fistula (ADF) is a rare but morbid diagnosis. Here, we present the case of a patient with a primary ADF that resulted in mortality. Despite multiple attempts at radiographic and endoscopic diagnosis, the fistula did not declare itself until the patient exsanguinated. Given the morbidity associated with ADF and the imperfection of associated diagnostic studies, a high index of suspicion is required to make a timely diagnosis.
authors: Department of General Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA.
authors: Carly Rachel Noel
authors: CR
authors: Richards
authors: Department of General Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA.
authors: Robert
authors: R
authors: McMurray
authors: Tripler Army Medical Center, Tripler, Hawaii, USA.
authors: Erik
authors: E
authors: Criman
authors: Department of General Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA.
authors: Shane
authors: S
authors: Rinehart
mesh_terms: D000368:Aged; D000072226:Computed Tomography Angiography; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000601:surgery; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D016157:Vascular Fistula / Q000175:diagnosis* / Q000601:surgery