Massive gastrointestinal bleed due to a primary aortoenteric fistula.

Autor:	Stanley B; Logan Hospital, Logan, Queensland, Australia benjamin.stanley@health.qld.gov.au.; Griffith University School of Medicine and Dentistry, Gold Coast, Queensland, Australia., Nguyen V; Logan Hospital, Logan, Queensland, Australia., Sivasuthan G; Department of Surgery, Logan Hospital, Logan, Queensland, Australia., Burstow M; Department of General Surgery, Logan Hospital, Logan, Queensland, Australia.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2024 Feb 20; Vol. 17 (2). Date of Electronic Publication: 2024 Feb 20.
DOI:	10.1136/bcr-2023-258320
Abstrakt:	A man in his 60s attended emergency for acute-onset abdominal pain and haematemesis. Requiring resuscitation, a CT abdomen/pelvis revealed a primary aortoenteric fistula actively bleeding into the duodenum. His background included a previous severe Q-fever infection and a heavy smoking history. Despite attempts at resuscitation and an emergent surgical attempt at haemostasis, the patient did not survive the massive gastrointestinal haemorrhage.Even in less severe cases, management of aortoenteric fistulas is tricky. Blood cultures and angiographic imaging are important investigations in guiding surgical approach. The pathology tends to have a significant rate of mortality even at tertiary-level vascular surgical centres. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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