An autopsy case of a primary aortoenteric fistula: A pitfall of the endoscopic diagnosis  

作　　者：Yoko Ihama Tetsuji Miyazaki Chiaki Fuke Yasushi Ihama Ryoji Matayoshi Hiroshi Kohatsu Fukunori Kinjo 

机构地区：[1]Department of Legal Medicine, School of Medicine, University of the Ryukyus,Okinawa 903-0215, Japan [2]Department of Endoscopy, University Hospital, University of the Ryukyus, Okinawa 903-0215, Japan [3]Department of Internal Medicine, Okinawa Red Cross Hospital,Okinawa 900-8611, Japan

出　　处：《World Journal of Gastroenterology》2008年第29期4701-4704,共4页世界胃肠病学杂志（英文版）

摘　　要：A primary aortoenteric fistula (PAEF), defined as a communication between the native aorta and the gastrointestinal tract, is a rare cause of gastrointes-tinal bleeding. The preoperative diagnosis of PAEF is extremely difficult. Consequently, PAEF may cause sudden and unexpected death. We present an autopsy case of a 68-year-old man who died of massive gastro-intestinal bleeding due to a PAEF. Autopsy revealed a pinhole rupture located on the third part of the duode-nal mucosa and fistulized into the adjacent abdominal aortic aneurysm (AAA). Our case indicates that the aortoenteric fistula can result in fatal gastrointestinal bleeding. Consequently, a PAEF should be included in the differential diagnosis of gastrointestinal bleeding.A primary aortoenteric fistula （PAEF）, defined as a communication between the native aorta and the gastrointestinal tract, is a rare cause of gastrointes-tinal bleeding. The preoperative diagnosis of PAEF is extremely difficult. Consequently, PAEF may cause sudden and unexpected death. We present an autopsy case of a 68-year-old man who died of massive gastro-intestinal bleeding due to a PAEF. Autopsy revealed a pinhole rupture located on the third part of the duode-nal mucosa and fistulized into the adjacent abdominal aortic aneurysm （AAA）. Our case indicates that the aortoenteric fistula can result in fatal gastrointestinal bleeding. Consequently, a PAEF should be included in the differential diagnosis of gastrointestinal bleeding.

关 键 词：Primary aortoenteric fistula Gastrointestinal bleeding Herald bleeding MISLEADING Medico-legalautopsy 

分 类 号：R656.7[医药卫生—外科学]