Enigma of primary aortoduodenal fistula  

作　　者：Miklosh Bala Jacob Sosna Liat Appelbaum Eran Israeli Avraham I Rivkind 

机构地区：[1]Department of General Surgery and Trauma Unit,Hadassah-Hebrew University Medical Center [2]Department of Radiology,Hadassah-Hebrew University Medical Center [3]Department of Gastroenterology,Hadassah-Hebrew University Medical Center

出　　处：《World Journal of Gastroenterology》2009年第25期3191-3193,共3页世界胃肠病学杂志（英文版）

摘　　要：A diagnosis of primary aortoenteric fistula is difficult to make despite a high level of clinical suspicion. It should be considered in any elderly patient who presents with upper gastrointestinal bleeding in the context of a known abdominal aortic aneurysm. We present the case of young man with no history of abdominal aortic aneurysm who presented with massive upper gastrointestinal bleeding. Initial misdiagnosis led to a delay in treatment and the patient succumbing to the illness. This case is unique in that the fistula formed as a result of complex atherosclerotic disease of the abdominal aorta, and not from an aneurysm.A diagnosis of primary aortoenteric fistula is difficult to make despite a high level of clinical suspicion. It should be considered in any elderly patient who presents with upper gastrointestinal bleeding in the context of a known abdominal aortic aneurysm. We present the case of young man with no history of abdominal aortic aneurysm who presented with massive upper gastrointestinal bleeding. Initial misdiagnosis led to a delay in treatment and the patient succumbing to the illness. This case is unique in that the fistula formed as a result of complex atherosclerotic disease of the abdominal aorta, and not from an aneurysm.

关 键 词：Aortoduodenal fistula Gastrointestinal hemorrhage Computed tomography AORTOGRAPHY 

分 类 号：R654.3[医药卫生—外科学]