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Upper gastrointestinal bleeding due to primary aortoenteric fistula
- Source :
- Chirurgia (Bucharest, Romania : 1990). 101(6)
- Publication Year :
- 2007
-
Abstract
- Primary aortoenteric fistula (PAEF) is a rare but clinically important cause of catastrophic gastrointestinal bleeding. "Herald bleeding" is a characteristic symptom which refers to specific case of upper gastrointestinal bleeding that stop temporarily spontaneously and then proceeds to massive bleeding. We present the case report of a 55-year-old male with PAEF who was admitted due to upper gastrointestinal bleeding. Endoscopic studies were unremarkable and patient underwent exploratory laparotomy. The postoperative course was uneventful. A high index of suspicion, early diagnosis and prompt appropriate surgical intervention are crucial for survival of patient with PAEF. Gastrointestinal bleeding combined with a negative endoscopy suggests PAEF. Endovascular operation is an attractive treatment option.
Details
- ISSN :
- 12219118
- Volume :
- 101
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Chirurgia (Bucharest, Romania : 1990)
- Accession number :
- edsair.pmid..........5fa40e1907b9a498a0a61c43103cd6a3