Abstract
Objective: We describe a case series of patients diagnosed with Primary aortic aneurysm characterized by herald gastrointestinal bleeding, reviewed the literature, aimed to identify and treat such patients without delay, reduce fatality rate.Materials and methods: We reviewed a case series of Primary aortic aneurysm in the Department of Gastroenterology, Beijing Shijitan Hospital Affliated to the Capital Medical University. Each patient was admitted to hospital with gastrointestinal bleeding as main complaint, and was diagnosed by CT or endoscopy. Then characteristics of endoscopy and CT were analyzed. Results: 3 patients were enrolled. In case 1, hematoma was formed after a ruptured abdominal aortic aneurysm, and compression of the hematoma led to ischemic colitis, abdominal pain and hematochezia were the main symptoms. In case 2 and case 3, aortic gastrointestinal fistula were found in the duodenum and esophagus, respectively, abdominal pain, melena and hematochezia were the main symptoms. Conclusion: A timely and accurate diagnosis of Primary aortic aneurysm may be challenging due to insidious episodes of GI bleeding, which are frequently under-diagnosed until the occurrence of massive hemorrhage. Clinical physicians should keep a high index of awareness for Primary aortic aneurysm.
Rare Adrenal Gland Emergencies: A Case Series of Giant Myelolipoma Presenting With Massive Hemorrhage and Abscess
