Primary aorto-duodenal fistula.
- Author:
Muhsein KA
;
Suib I
;
Hanif H
- Publication Type:Case Reports
- MeSH:
Aortic Diseases/*diagnosis;
Duodenal Diseases/*diagnosis;
Intestinal Fistula/*diagnosis
- From:
The Medical Journal of Malaysia
2003;58(3):446-449
- CountryMalaysia
- Language:Malay
-
Abstract:
Primary aorto-duodenal fistula is a rare and life-threatening cause of upper gastro-intestinal bleed. In this case report, a patient presented acutely with several episodes of haematochezia and pulseless lower limbs bilaterally. Primary aorto-duodenal fistula with peripheral vascular disease was diagnosed after an urgent CT angiogram was performed. She underwent left axillo-bifemoral bypass, resection of the fistula, Rouxen-Y gastro-jejunostomy, pyloric exclusion and controlled duodenal fistula the following day.
