Open AccessGastrointestinal bleeding due to a primary aortoenteric fistula
Author(s) -
Yolanda Núñez Delgado,
Laura Díaz Rubio,
Ana Milena Muñoz
Publication year - 2020
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2020.6427/2019
Subject(s) - aortoenteric fistula , medicine , gastrointestinal bleeding , general surgery , radiology , gastroenterology , aneurysm , abdominal aortic aneurysm
We present the case of a 80 years-old male patient who underwent a CT angiogram due to hematemesis and hypovolemic shock. An upper gastrointestinal endoscopy revealed a large clot that closed the antrum and abundant red blood in the pyloric-antrum region. Sclerosis was performed blindly and the bleeding origin was not identified and the success of the sclerosis could not be evaluated. A primary aorta-duodenal fistula was observed by CT angiography, which was treated with an endograft and femoro-femoral bypass. The patient was discharged 14 days after admission.