Rezidivierende obere gastrointestinale Blutungen bei einem 61-jährigen Patienten mit infrarenalem Bauchaortenaneurysma
| Autor: | M Brueck, K. Rauber, J. Bindewald, R. Jakobs, Dirk Bandorski |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Gastrointestinal bleeding
medicine.medical_specialty medicine.diagnostic_test business.industry Aortoenteric fistula medicine.disease Abdominal aortic aneurysm Surgery Endoscopy Aortic aneurysm medicine.anatomical_structure Melena cardiovascular system Internal Medicine Duodenum Medicine Upper gastrointestinal bleeding medicine.symptom business |
| Zdroj: | Der Internist. 49:1259-1264 |
| ISSN: | 1432-1289 0020-9554 |
| DOI: | 10.1007/s00108-008-2100-5 |
| Popis: | A 61-year-old man was admitted to hospital due to recurrent upper gastrointestinal bleeding. Four weeks ago, he had been treated with epinephrine and endoclips by endoscopy due to an arterial gastrointestinal bleeding. The patient had a history of coronary and peripheral artery disease, diabetes, and an abdominal aortic aneurysm. Urgent endoscopy suggested the presence of an ulcus Dieulafoy but no definitive bleeding source could be seen. Due to ongoing melena an abdominal computer tomography was performed and a primary aortoduodenal fistula was suspected caused by the infrarenal abdominal aortic aneurysm. Laparatomy was undertaken emergently and an aortoduodenal fistula was found in the descending part of the duodenum. Repair of the duodenal rent was performed and the aortic aneurysm was replaced by a Dacron prosthesis. The patient was transferred to the intensive care unit. 4 days after initial admission, he died due to septic shock. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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