Primary aortoduodenal fistula.

Autor: Van der Klooster JM; Department of Internal Medicine, IJsselland Ziekenhuis, Capelle aan den IJssel, The Netherlands., Reuters RA, Van der Wiel HE
Jazyk: angličtina
Zdroj: The Netherlands journal of medicine [Neth J Med] 1999 Apr; Vol. 54 (4), pp. 152-7.
DOI: 10.1016/s0300-2977(98)00130-2
Abstrakt: The aortoenteric fistula is a well-known but uncommon cause of gastrointestinal haemorrhage. It is usually secondary to previous reconstructive surgery of an abdominal aortic aneurysm. Primary aortoenteric fistula is a rare disorder which predominantly occurs in the duodenum. We report the case of a 76-year-old patient who presented with melaena and hypovolaemic shock due to a primary aortoduodenal fistula. Pathogenesis, diagnostic procedures and postmortem pathologic examination of this condition are discussed. The value of computed tomography in establishing the diagnosis is emphasized.
Databáze: MEDLINE