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Changes in endoscopic findings of primary aortoduodenal fistula
Author(s) -
Fujimori Shunji,
Kishida Teruyuki,
Uchida Naoya,
Ohiso Giichiro,
Kotoyori Makoto,
Yoshizawa Masashi,
Matsumoto Satoshi,
Tanaka Noritake,
Yamashita Kiyohiko,
Sakamoto Choitsu
Publication year - 2002
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1046/j.1443-1661.2002.00197.x
Subject(s) - medicine , duodenum , fistula , duodenoscopy , surgery , endoscopy , abdominal aortic aneurysm , arteriovenous fistula , general surgery , aneurysm
Primary aortoenteric fistula is very rare and a highly lethal entity. It is very important not to miss a few chances to diagnose it endoscopically. We report our experience of a case of primary aortoduodenal fistula. An 80‐year‐old woman complained of repeated hematemesis, bloody bowel discharge, and hemorrhagic shock. An abdominal aortic aneurysm was detected by an abdominal angiography. Duodenoscopy was performed 3 and 5 days after hematemesis, showing two different patterns of endoscopic findings. Three days after hematemesis, an undermining ulcer with a dark red clot at its bottom was detected in the third part of the duodenum. Five days after hematemesis, the base of the ulcer was covered with yellowish matter on the red clot. Six days after hematemesis, aortoduodenal fistula was confirmed in the third part of the duodenum at surgery. An ulcer with yellowish matter as well as with a red clot in the third and fourth parts of the duodenum by endoscopy might be indicative of aortoduodenal fistula.