P0057 AORTODUODENAL FISTULA: A RARE CAUSE OF GASTROINTESTINAL BLEEDING

We present a patient with gastrointestinal bleeding secondary to an aortoduodenal fistula. The patient had undergone an open surgical repair of an abdominal aortic aneurysm five years prior to admission.

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Tuberculous Aortitis with an Aortoduodenal Fistula Presenting as Recurrent Gastrointestinal Bleeding

Clinical Infectious Diseases ◽

10.1086/314045 ◽

2000 ◽

Vol 31 (3) ◽

pp. 841-842 ◽

Cited By ~ 10

Author(s):

E. J. F. M. de Kruijf ◽

A. B. B. van Rijn ◽

I. A. Koelma ◽

T. J. A. Kuijpers ◽

J. W. van 't Wout

Keyword(s):

Gastrointestinal Bleeding ◽

Aortoduodenal Fistula

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A rare and forgotten diagnosis of gastrointestinal bleeding: primary aortoduodenal fistula

BMJ Case Reports ◽

10.1136/bcr-2013-008712 ◽

2013 ◽

Vol 2013 (mar13 1) ◽

pp. bcr2013008712-bcr2013008712 ◽

Cited By ~ 1

Author(s):

A. Guner ◽

U. Mentese ◽

C. Kece ◽

U. Kucuktulu

Keyword(s):

Gastrointestinal Bleeding ◽

Aortoduodenal Fistula

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Recurrent gastrointestinal bleeding due to a tuberculous mycotic aneurysm with an aortoduodenal fistula

International Journal of Infectious Diseases ◽

10.1016/j.ijid.2005.12.003 ◽

2007 ◽

Vol 11 (2) ◽

pp. 182-184 ◽

Cited By ~ 2

Author(s):

Hung-Chin Tsai ◽

Susan Shin-Jung Lee ◽

Shue-Ren Wann ◽

Yao-Shen Chen ◽

Jyh-Seng Wang ◽

...

Keyword(s):

Gastrointestinal Bleeding ◽

Mycotic Aneurysm ◽

Aortoduodenal Fistula

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Endovascular Treatment of a Primary Aortoduodenal Fistula: 2-Year Follow-Up of a Case Report

Vascular and Endovascular Surgery ◽

10.1177/1538574407300919 ◽

2007 ◽

Vol 41 (3) ◽

pp. 265-270 ◽

Cited By ~ 20

Author(s):

Gerasimos Papacharalambous ◽

Georgios Skourtis ◽

Apostolos Saliveros ◽

Dimitrios Karagannidis ◽

Sotirios Makris ◽

...

Keyword(s):

Gastrointestinal Bleeding ◽

Graft Infection ◽

Aortoduodenal Fistula ◽

Stent Grafts ◽

Recurrent Hemorrhage ◽

Surgical Risk ◽

Abdominal Aortic ◽

Risk Patients

The purpose is to evaluate the role of endovascular management for primary aortoduodenal fistula in poor surgical risk patients. A 70-year-old-man was admitted at the emergency room of our hospital with recurrent upper-gastrointestinal bleeding. A diagnostic workup was suggestive of a primary aortoduodenal fistula caused by erosion of an infrarenal abdominal aortic aneurysm. Intractable cardiac arrhythmia, recurrent hemorrhage, and poor patient condition were compatible with an exceedingly high surgical risk. The fistula was successfully treated, and gastrointestinal bleeding was eliminated with placement of a Lifepath endoluminal aortoiliac stent graft. At the 21-month follow-up, the patient was not presenting with symptoms and signs of graft infection, and radiologic studies confirmed decreasing aneurysm size without associated signs of local sepsis. Endovascular stent grafts can efficiently arrest massive exsanguination in critically ill patients with primary aortoenteric fistula. The risk of graft infection remains the most serious problem associated with this approach.

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