English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Aortoduodenal fistula is a rare and serious condition. It can be primary and secondary. Clinical presentation is characterized by the classic triad of GI bleed, abdominal pain and palpable abdominal mass that occur in only 11% of cases. Accurate and rapid diagnosis should be considered since any delay has a deleterious effect on patient’s life. We are reporting a case of primary aortoduodenal fistula presenting initially with acute and massive GI bleed. Received: December 12, 2017; Accepted: January 17, 2018; Published: January 22, 2018 *Corresponding author: Antoine Abou Rached, Gastroenterologist, Faculty of Medical Sciences, Lebanese University, Hadath, Lebanon, Tel: +9613746317; E-mail: abourachedantoine@gmail.com Symbiosis www.symbiosisonline.org www.symbiosisonlinepublishing.com Symbiosis Group * Corresponding author email: abourachedantoine@gmail.com Introduction Aorto Duodenal Fistula (ADF) is a rare entity but lifethreatening condition; it is classified either as primary aortoduodenal fistula (PADF) that develops between the aorta and the third or fourth portion of the duodenum without prior reconstructive procedures on the abdominal aorta and can be the cause of massive gastrointestinal (GI) bleeding, and secondary ADF produced by erosion of an aortic prosthesis into the digestive tract [1]. PADF It is first described by Cooper in 1822 [2].The first case report was described by Salmon in 1843 [3].

Primary Aorto-Duodenal Fistula with Enterococcus Foecalis Infection: A Rare But Life Threatening Etiology of Gastro-Intestinal Bleed