Primary aortoduodenal fistula: a rare cause of massive gastrointestinal hemorrhage.
Aortic Aneurysm
Autopsy
Digestive System Fistula
Pathology
Journal
Autopsy & case reports
ISSN: 2236-1960
Titre abrégé: Autops Case Rep
Pays: Brazil
ID NLM: 101640070
Informations de publication
Date de publication:
2021
2021
Historique:
received:
16
05
2021
accepted:
04
06
2021
entrez:
30
8
2021
pubmed:
31
8
2021
medline:
31
8
2021
Statut:
epublish
Résumé
Aortoduodenal fistula (ADF) is the most common type of aortoenteric fistula (AEF). This is a rare entity, which produces communication between an abdominal aortic aneurysm (AAA) and the gastrointestinal tract (GIT), resulting in massive gastrointestinal bleeding. AEF/ADF is difficult to recognize clinically, with the classical triad of symptoms including a pulsating, palpable mass, abdominal pain, and GIT bleeding. AEF/ADF can be classified into primary when a communication between an AAA and the GIT develops with no history of prior aortic reconstructive surgery, and secondary, where the communication is on the background of previous aortic reconstructive surgery. Herein we present a case report of a 75-year-old Caucasian male patient with a clinical history of AAA, who presented with massive GIT bleeding and expired shortly after. An autopsy revealed communication between an atherosclerotic AAA and the lower third of the duodenum.
Identifiants
pubmed: 34458170
doi: 10.4322/acr.2021.301
pii: acrep106421_EN
pmc: PMC8387084
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e2021301Informations de copyright
Copyright: © 2021 The Authors.
Déclaration de conflit d'intérêts
Conflict of interest: The authors have no conflict of interest to declare.
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