Primary Aortoduodenal Fistula – A Rare Clinical Entity

Shehzad, Khalid; Riaz, Amjid; Meyrick-Thomas, J.

doi:10.1258/shorts.2009.090430

Cited by 11 publications

(27 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The classic triad of symptoms – gastrointestinal bleeding, abdominal pain, and a pulsating abdominal mass – occurs in less than 25% of PAEF cases ( 6 ). The diagnosis and treatment of aortoenteric fistulas are difficult because of its nonspecific and subtle clinical presentation ( 2 , 5 ). However, PAEF usually present with a herald bleeding prior to exsanguination.…”

Section: Discussionmentioning

confidence: 99%

“…In a hemodynamically stable patient with gastrointestinal bleeding, an endoscopy is the preferred primary procedure which provides valuable information ( 1 – 3 ). However, an endoscopy rarely reveals confirmatory evidence of a PAEF because stable patients do not often have active bleeding ( 1 , 2 , 8 , 9 ). An endoscopy should be followed by a CT with contrast, and if there is consistent evidence of bleeding without an identifiable source, an angiogram should be considered.…”

Section: Discussionmentioning

confidence: 99%

“…The first case report of a PADF was described by Salmon in 1843. Since then, about 250 cases have been reported in literature ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Aorto-duodenal fistula: a rare but serious complication of gastrointestinal hemorrhage. A case report

Šumskienė

Šveikauskaitė

Kondrackienė

et al. 2016

AML

View full text Add to dashboard Cite

A primary aortoduodenal fistula (PADF) is a rare cause of gastrointestinal bleeding that is difficult to diagnose (and sometimes not diagnosed until a laparotomy.) A PADF is associated with high mortality if undiagnosed and untreated (the mortality rate of nearly 100% in the absence of a surgical intervention). While this condition is extremely rare with an incidence rate at autopsy of 0.04% to 0.07%, a secondary ADF occurs much more commonly (the post-operative incidence of 0.5% to 2.3%) and is due to prior aortic surgery and/or the placement of a synthetic aortic graft. It should be considered in any elderly patient who presents with upper gastrointestinal bleeding in the context of a known abdominal aortic aneurysm or without it when no identifiable source of bleeding is found. We present an autopsy case of a 59-year-old man with no history of an abdominal aortic aneurysm who presented with intermittent massive gastrointestinal bleeding. The autopsy revealed a pinhole fistula. It was identified between an atherosclerotic abdominal aortic aneurysm and the lower horizontal part of the duodenum. Our case indicates that the aortoenteric fistula can result in fatal gastrointestinal bleeding. This case is unique in that the fistula formed as a result of a complex atherosclerotic abdominal aorta and a localized necrotizing granulomatous aortitis the etiology of which was not clear.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Aorto-duodenal fistula: a rare but serious complication of gastrointestinal hemorrhage. A case report

Šumskienė

Šveikauskaitė

Kondrackienė

et al. 2016

AML

View full text Add to dashboard Cite

show abstract

“…Since their first discovery 100 years ago, more than 200 PADFs have been reported [3]. The presented case report describes a PADF between the suprarenal AAA and duodenojejunal flexure (infected aneurysm), which was successfully managed at Al Sadr Teaching Hospital in Basrah, Iraq and raise the fallibility of diagnostic investigations, and the importance of having a clinical suspicion.…”

Section: Introductionmentioning

confidence: 94%

Survival of Serious and Lethal Complication of Gastrointestinal Hemorrhage: Case Report

2018

JCRC

View full text Add to dashboard Cite

Background Primary aortoduodenal fistula (PADF) is a rare, serious complication of abdominal aortic aneurysm (AAA). Frequently the diagnosis is missed due to the rarity of disease. Case description A 76 year old, Male referred to GIT center in our hospital suffering from severe upper gastrointestinal bleeding and melena. All investigation appears normal apart from elevated blood urea with 3 sessions of upper GIT endoscopy by expert GI Physician with no evidence of cause for the bleeding (he put in her mind Dieulaphoy lesion).

show abstract

“…Классическим призна-ком АДФ служит так называемое «herald bleed» (кра-тковременное, самостоятельно останавливающееся активное кровотечение с последующим массивным рецидивом). Следует отметить, что фистула в боль-шинстве случаев эндоскопически не визуализирует-ся [7].…”

Section: Abstract: Ulcer Disease Gastrointestinal Bleeding Endoscopunclassified

The unusual endoscopic finding in a patient presenting with the chronic duodenal bulb ulcer complicated by hemorrhage

Конюхов¹,

Федоров²,

Будзинский³

et al. 2016

Dok. gastroenterol.

View full text Add to dashboard Cite

Primary Aortoduodenal Fistula – A Rare Clinical Entity

Cited by 11 publications

References 19 publications

Aorto-duodenal fistula: a rare but serious complication of gastrointestinal hemorrhage. A case report

Aorto-duodenal fistula: a rare but serious complication of gastrointestinal hemorrhage. A case report

Survival of Serious and Lethal Complication of Gastrointestinal Hemorrhage: Case Report

The unusual endoscopic finding in a patient presenting with the chronic duodenal bulb ulcer complicated by hemorrhage

Contact Info

Product

Resources

About