Year 2020 / Volume 112 / Number 5
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Gastrointestinal bleeding due to a primary aortoenteric fistula

416-417

DOI: 10.17235/reed.2020.6427/2019

Yolanda Núñez Delgado, Laura Díaz Rubia, Ana Milena Muñoz,

Abstract
We present the case of a 80 years-old male patient who underwent a CT angiogram due to hematemesis and hypovolemic shock. An upper gastrointestinal endoscopy revealed a large clot that closed the antrum and abundant red blood in the pyloric-antrum region. Sclerosis was performed blindly and the bleeding origin was not identified and the success of the sclerosis could not be evaluated. A primary aorta-duodenal fistula was observed by CT angiography, which was treated with an endograft and femoro-femoral bypass. The patient was discharged 14 days after admission.
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References
1. Behrendt CA,Wipper S, Debus SE, et al. Primary aorto-enteric fistula as a rare cause of massive gastrointestinal haemorrhage. Vasa 2017 Oct; 46 (6), 425–430. Doi:10.1024/0301-1526/a000646 .
2. Gordon AC, Agarwal M. Primary aorto-enteric fistula. Int J Surg Case Rep. 2016;19: 60–62. Doi: 10.1016/j.ijscr.2015.12.009.
3. Tejedor-Tejada J, Núñez Rodríguez H, Domingo L. Secondary aortoduodenal fistula with the presentation of gastrointestinal bleeding: a case report. Rev Esp Enferm Dig 2019. Doi:10.17235/reed.2019.6106/2018.
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Núñez Delgado Y, Díaz Rubia L, Milena Muñoz A. Gastrointestinal bleeding due to a primary aortoenteric fistula. 6427/2019


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Publication history

Received: 03/06/2019

Accepted: 20/06/2019

Online First: 27/04/2020

Published: 08/05/2020

Article revision time: 4 days

Article Online First time: 329 days

Article editing time: 340 days


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