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Primary aortoenteric fistula to jejunum: a case report
Nadeem A Chaudhary1, Layth Saymeh, Verapan Vongthavaravat
1Section of Gastroenterology, University Hospital, 7 North Pavilion, Room 526, P.O. Box 26307, OKC, OK 73216, USA.
The Journal of the Oklahoma State Medical Association
|January 1, 2004
Summary
Primary aortoenteric fistula (PAEF) is a rare cause of gastrointestinal bleeding, often presenting with non-specific symptoms. Early diagnosis via computed tomography (CT) and prompt surgical repair are vital for patient survival.
Area of Science:
- Vascular Surgery
- Gastroenterology
Background:
- Primary aortoenteric fistula (PAEF) is a rare but life-threatening cause of gastrointestinal bleeding.
- Diagnosis is challenging due to atypical presentations and the absence of classical symptoms.
Observation:
- A 56-year-old male presented with obscure gastrointestinal bleeding.
- Initial endoscopic evaluations were inconclusive.
- Computed tomography (CT) was instrumental in diagnosing PAEF in this symptomatic patient.
Findings:
- The patient was diagnosed with PAEF after presenting with obscure gastrointestinal bleeding.
- CT imaging proved effective in identifying the fistula.
- Surgical intervention involved laparotomy with aortobifemoral graft placement.
Implications:
- A high index of suspicion is crucial for diagnosing PAEF.
- Early and accurate diagnosis significantly improves patient outcomes.
- Prompt surgical management is essential for survival in PAEF cases.