A case report of primary aortoduodenal fistula: A forgotten cause of gastrointestinal bleeding
Aortoenteric fistula is one of the uncommon emergencies and is challenging to navigate for diagnostic testing. Here, we present a clinical case of an aortoduodenal fistula with primary etiology. A 73-year-old female patient with a history of hypertension was admitted to the hospital because of a 1-d...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-04-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322011281 |
| _version_ | 1797894971330658304 |
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| author | Pham Dang Hai, MD Pham Yen Nhi, MD Nguyen Thu Huyen, MD Nguyen Huu Thanh, MD |
| author_facet | Pham Dang Hai, MD Pham Yen Nhi, MD Nguyen Thu Huyen, MD Nguyen Huu Thanh, MD |
| author_sort | Pham Dang Hai, MD |
| collection | DOAJ |
| description | Aortoenteric fistula is one of the uncommon emergencies and is challenging to navigate for diagnostic testing. Here, we present a clinical case of an aortoduodenal fistula with primary etiology. A 73-year-old female patient with a history of hypertension was admitted to the hospital because of a 1-day history of melena. Ultrasound showed an abdominal aortic aneurysm sized (33 × 46) mm and a hematoma on the wall of the aorta. The patient underwent a gastrointestinal endoscopy with no bleeding point detected. However, the patient suddenly fell into a hemorrhagic shock on day 3 of admission. We rapidly performed fluid resuscitation, blood transfusion, a second gastrointestinal endoscopy, and a computed tomography scan of the abdomen with contrast injection that revealed a fistula from the abdominal aorta into the second segment of the duodenum. The patient was indicated for urgent endovascular aortic repair. Although this technique was successful with 3 abdominal aortic stents, the patient died due to multiorgan failure. Delayed diagnosis is the root cause of primary aortoduodenal fistula treatment failure, so it is important for clinicians to keep aortoduodenal fistula in mind as a possible cause of gastrointestinal bleeding in any patient. |
| first_indexed | 2024-04-10T07:17:58Z |
| format | Article |
| id | doaj.art-e69a39f711be45ca87fb7de212129187 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-10T07:17:58Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-e69a39f711be45ca87fb7de2121291872023-02-25T04:09:36ZengElsevierRadiology Case Reports1930-04332023-04-0118415561559A case report of primary aortoduodenal fistula: A forgotten cause of gastrointestinal bleedingPham Dang Hai, MD0Pham Yen Nhi, MD1Nguyen Thu Huyen, MD2Nguyen Huu Thanh, MD3Medical Intensive Care Unit, 108 Military Central Hospital, Vietnam; Corresponding author.Medical Intensive Care Unit, 108 Military Central Hospital, VietnamMedical Intensive Care Unit, 108 Military Central Hospital, VietnamCollege of Health Sciences, VinUniversity, VietnamAortoenteric fistula is one of the uncommon emergencies and is challenging to navigate for diagnostic testing. Here, we present a clinical case of an aortoduodenal fistula with primary etiology. A 73-year-old female patient with a history of hypertension was admitted to the hospital because of a 1-day history of melena. Ultrasound showed an abdominal aortic aneurysm sized (33 × 46) mm and a hematoma on the wall of the aorta. The patient underwent a gastrointestinal endoscopy with no bleeding point detected. However, the patient suddenly fell into a hemorrhagic shock on day 3 of admission. We rapidly performed fluid resuscitation, blood transfusion, a second gastrointestinal endoscopy, and a computed tomography scan of the abdomen with contrast injection that revealed a fistula from the abdominal aorta into the second segment of the duodenum. The patient was indicated for urgent endovascular aortic repair. Although this technique was successful with 3 abdominal aortic stents, the patient died due to multiorgan failure. Delayed diagnosis is the root cause of primary aortoduodenal fistula treatment failure, so it is important for clinicians to keep aortoduodenal fistula in mind as a possible cause of gastrointestinal bleeding in any patient.http://www.sciencedirect.com/science/article/pii/S1930043322011281Primary aortoduodenal fistulaGastrointestinal bleedingSurgeryEndovascular aortic repair |
| spellingShingle | Pham Dang Hai, MD Pham Yen Nhi, MD Nguyen Thu Huyen, MD Nguyen Huu Thanh, MD A case report of primary aortoduodenal fistula: A forgotten cause of gastrointestinal bleeding Radiology Case Reports Primary aortoduodenal fistula Gastrointestinal bleeding Surgery Endovascular aortic repair |
| title | A case report of primary aortoduodenal fistula: A forgotten cause of gastrointestinal bleeding |
| title_full | A case report of primary aortoduodenal fistula: A forgotten cause of gastrointestinal bleeding |
| title_fullStr | A case report of primary aortoduodenal fistula: A forgotten cause of gastrointestinal bleeding |
| title_full_unstemmed | A case report of primary aortoduodenal fistula: A forgotten cause of gastrointestinal bleeding |
| title_short | A case report of primary aortoduodenal fistula: A forgotten cause of gastrointestinal bleeding |
| title_sort | case report of primary aortoduodenal fistula a forgotten cause of gastrointestinal bleeding |
| topic | Primary aortoduodenal fistula Gastrointestinal bleeding Surgery Endovascular aortic repair |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322011281 |
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