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Case Reports
. 2016 Jan;29(1):30-2.
doi: 10.1080/08998280.2016.11929347.

Superior mesenteric artery-duodenal fistula secondary to a gunshot wound

Cory M Fielding  1 , Wesam Frandah  1 , Steven Krohmer  1 , Deborah Flomenhoft  1
Affiliations
Case Reports

Superior mesenteric artery-duodenal fistula secondary to a gunshot wound

Cory M Fielding et al. Proc (Bayl Univ Med Cent). 2016 Jan.

Abstract

Arterioenteric fistulas are a rare cause of massive gastrointestinal hemorrhage. We present a patient who developed a fistula between a middle colic artery pseudoaneurysm, a proximal branch of the superior mesenteric artery (SMA), and the third part of the duodenum 2 weeks after a self-inflicted gunshot wound to the abdomen. The patient's presentation, evaluation, treatment, and prognosis are discussed. All prior published cases of SMA-duodenal fistulas are reviewed.

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Figures

Figure 1.
Figure 1.
Pulsating clot in the third part of the duodenum.
Figure 2.
Figure 2.
Contrast blush on computed tomographic angiogram in the superior mesenteric artery–duodenum area.
Figure 3.
Figure 3.
Pseudoaneurysm of the middle colic branch (black arrow) of the superior mesenteric artery (white arrow) on mesenteric angiography.
Figure 4.
Figure 4.
Successful endovascular coiling of the bleeding vessel.
See this image and copyright information in PMC

References

    1. Budimir I, Nikolić M, Supanc V, Ljubicić N, Krpan T, Zovak M, Sabol M. Secondary arterio-enteric fistula: case report and review of the literature. Acta Clin Croat. 2012;51(1):79–82. - PubMed
    1. Bergqvist D, Björck M. Secondary arterioenteric fistulation—a systematic literature analysis. Eur J Vasc Endovasc Surg. 2009;37(1):31–42. - PubMed
    1. Barry PA, Molland JG, Falk GL. Primary aortoduodenal fistula. Aust N Z J Surg. 1998;68(3):243–244. - PubMed
    1. Lopez-Viego MA, Snyder WH, 3rd, Valentine RJ, Clagett GP. Penetrating abdominal aortic trauma: a report of 129 cases. J Vasc Surg. 1992;16(3):332–335. - PubMed
    1. Schwab CW, McMahon DJ, Phillips G, Pentecost MJ. Aortic balloon control of a traumatic aortoenteric fistula after damage control laparotomy: a case report. J Trauma. 1996;40(6):1021–1023. - PubMed

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