1. [Primary aortoduodenal fistula: risk of fatal bleeding].
- Author
-
Elderman JH, De Jaegere TM, and Gehlen JM
- Subjects
- Aged, 80 and over, Aorta, Abdominal pathology, Aortic Diseases diagnosis, Aortic Diseases surgery, Duodenal Diseases diagnosis, Duodenal Diseases surgery, Hemorrhage diagnosis, Humans, Intestinal Fistula diagnosis, Intestinal Fistula surgery, Male, Treatment Outcome, Vascular Fistula diagnosis, Vascular Fistula surgery, Vascular Surgical Procedures, Aortic Diseases complications, Duodenal Diseases complications, Hemorrhage etiology, Intestinal Fistula complications, Vascular Fistula complications
- Abstract
A primary aortoduodenal fistula is a life-threatening cause of haematemesis. Early recognition is essential for the prevention of complications and death. We describe the case of an 82-year-old man with acute haematemesis and melaena resulting from this condition. The diagnostic procedures included a gastroduodenoscopy and computed tomography angiography (CTA). The fistula was surgically removed, with neighbouring parts of the duodenum and aorta. The duodenum was closed by a simple anastomosis; the aorta by the introduction of a Dacron graft. The postoperative course was uneventful. Surgical intervention is the treatment of choice in patients with an aortoduodenal fistula.
- Published
- 2011