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Case Reports
. 2014 Aug;18(8):533-5.
doi: 10.4103/0972-5229.138160.

An unusual cause of gastrointestinal bleed

C K Adarsh  1 , Ravi Kiran  1 , Mallikarjun  1
Affiliations
Case Reports

An unusual cause of gastrointestinal bleed

C K Adarsh et al. Indian J Crit Care Med. 2014 Aug.

Abstract

Gastrointestinal (GI) bleed often brings the patient to the emergency medical service with great anxiety. Known common causes of GI bleed include ulcers, varices, Mallory-Weiss among others. All causes of GI bleed should be considered however unusual during the evaluation. Aortoenteric fistula (AEF) is one of the unusual causes of GI bleed, which has to be considered especially in patients with a history of abdominal surgery in general and aortic surgery in particular.

Keywords: Abdominal surgery; aortoenteric fistula; gastrointestinal bleed.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Upper gastrointestinal endoscopy showing a large clot at D2–D3 junction
Figure 2
Figure 2
Computed tomography scan in sagittal view showing nonfunctional aortic graft with thrombus/hematoma in relation to the third part of the duodenum
Figure 3
Figure 3
Computed tomography scan in axial view showing nonfunctional aortic graft with thrombus/hematoma in relation to the third part of duodenum
See this image and copyright information in PMC

References

    1. August KA. Secondary aortoenteric fistulae-changes from 1973 to 1993. Eur J Vasc Endovasc Surg. 1996;11:425–8. - PubMed
    1. Bastounis E, Papalambros E, Mermingas V, Maltezos C, Diamantis T, Balas P. Secondary aortoduodenal fistulae. J Cardiovasc Surg (Torino) 1997;38:457–64. - PubMed
    1. Grande JP, Ackermann DM, Edwards WD. Aortoenteric fistulas. A study of 28 autopsied cases spanning 25 years. Arch Pathol Lab Med. 1989;113:1271–5. - PubMed
    1. O'Mara CS, Williams GM, Ernst CB. Secondary aortoenteric fistula. A 20 year experience. Am J Surg. 1981;142:203–9. - PubMed
    1. Shindo S, Tada Y, Sato O, Idezuki Y, Nobori M, Tanaka N. A case of an aortocolic fistula occurring 27 years after aorto-femoral bypass surgery, treated successfully by surgical management. Surg Today. 1993;23:993–7. - PubMed

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