Secondary aorto-enteric fistula presenting over a 2-month period with recurrent gastrointestinal bleeding. (15th April 2013)

• Record Type: Journal Article
• Authors: Jamal, K; Shaunak, S; Kalsi, S; Nehra, D
• Is Part Of: BMJ case reports. Volume 2013
• Publication Date: 2013-04-15
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2012-008070
• Languages: English
• ISSNs: 1757-790X

Abstract

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.