1. Secondary aorto-enteric fistula presenting over a 2-month period with recurrent gastrointestinal bleeding
- Author
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Karim Jamal, S Kalsi, Dhiren Nehra, and S. Shaunak
- Subjects
medicine.medical_specialty ,Recurrent gastrointestinal bleeding ,Fistula ,Enteric fistula ,Aortic Diseases ,Article ,Fatal Outcome ,medicine.artery ,Intestinal Fistula ,medicine ,Humans ,Contrast extravasation ,Duodenal Diseases ,Vascular Fistula ,Aorta ,medicine.diagnostic_test ,business.industry ,General Medicine ,Bleed ,medicine.disease ,Endoscopy ,Radiography ,medicine.anatomical_structure ,cardiovascular system ,Duodenum ,Female ,Radiology ,Gastrointestinal Hemorrhage ,business - 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. more...
- Published
- 2013
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