Aorto-duodenal fistula: Multidetector computed tomography and gastroduodenoscopy findings of a rare cause of upper gastrointestinal hemorrhage

Massimo De Filippo, Nicola Sverzellati, Alessandra Albini, Enrico Rabaiotti, Martina Cavestro, Salvatore Quinto, Maurizio Zompatori

Research output: Contribution to journalArticlepeer-review

Abstract

An aorto-enteric fistula is a serious complication of abdominal aortic aneurysm. Acute upper gastrointestinal bleeding may be a life-threatening condition that calls for immediate diagnosis and action. Morbidity and mortality remain high despite progress in diagnosis and therapeutic procedures. In the literature, the aorto-enteric fistula diagnostic suspicion by multidetector computed tomography scan is assumed on the basis of the interruption of the aortic wall, with the presence of duodenal gas situated to tightened contact with the aorta. We report a patient with an aorto-duodenal fistula associated with inflammatory abdominal aortic aneurysm detected by gastro-duodenoscopy and multidetector computed tomography scan, with gas found in the lumen of the abdominal aorta, between the aneurysm wall and the thrombus.

Original languageEnglish
Pages (from-to)153-154
Number of pages2
JournalDigestive Endoscopy
Volume19
Issue number3
DOIs
Publication statusPublished - Jul 2007

Keywords

  • Aorto-duodenal fistula
  • Endoscopy
  • Multidetector computed tomography scan (MDCT)

ASJC Scopus subject areas

  • Gastroenterology

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