Primary aortoduodenal fistula – overlooked because of guidelines?-Reference-Cited by-同舟云学术

Primary aortoduodenal fistula – overlooked because of guidelines?

Published:2020-09-01 Issue:3-4 Volume:5 Page:133-136
ISSN:2364-7485
Container-title:Innovative Surgical Sciences
language:en
Short-container-title:

Author:

Wiesmueller Felix¹,Neufert Clemens²,Siebler Jürgen²,Croner Roland³,Lang Werner⁴,Grützmann Robert¹

Affiliation:

1. Department of Surgery , University Hospital Erlangen, Friedrich-Alexander-University of Erlangen-Nuremberg (FAU) , Erlangen , Germany

2. Department of Internal Medicine I , University Hospital Erlangen, Friedrich-Alexander-University of Erlangen-Nuremberg (FAU) , Erlangen , Germany

3. Department of General, Visceral, Vascular and Graft Surgery , University Hospital Magdeburg, Otto-von-Guericke University of Magdeburg , Magdeburg , Germany

4. Department of Vascular Surgery , University Hospital Erlangen, Friedrich-Alexander-University of Erlangen-Nuremberg (FAU) , Erlangen , Germany

Abstract

Abstract Primary aortoduodenal fistula is an uncommon yet mostly lethal finding. We present a case of a 63 year-old male who exhibited significant upper gastrointestinal bleeding and hemorrhagic shock. Repeated endoscopies did not detect any source of bleeding. Emergency laparotomy disclosed an aortoduodenal fistula. Despite intense medical efforts for several months the patient did not fully recover and treatment was limited to palliative care. In light of the substantial mortality associated with this condition, computed tomography imaging should be performed in case of doubt to prevent delayed diagnosis.

Publisher

Walter de Gruyter GmbH

Subject

Surgery

Link

https://www.degruyter.com/document/doi/10.1515/iss-2020-0007/pdf

Reference10 articles.

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3. Lozano, FS, Munoz-Bellvis, L, San Norberto, E, Garcia-Plaza, A, Gonzalez-Porras, JR. Primary aortoduodenal fistula: new case reports and a review of the literature. J Gastrointest Surg 2008;12:1561–5. https://doi.org/10.1007/s11605-008-0499-6.

4. Gesumaria, RC, Brown, JM, Espinosa, J, Lucerna, A. When to expect aortoduodenal fistula as a cause of abdominal pain in ED patients. Am J Emerg Med 2016;34:2468 e1–4. https://doi.org/10.1016/j.ajem.2016.06.042.

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