[Perforation of the jejunum by an aneurysm of the abdominal aorta]

The author describes the case of a 64-year-old patient who had three attacks of haemorrhage into the upper portion of the digestive tract which were initially erroneously ascribed to post-medicamentous changes of the gastric and duodenal mucosa. The third massive haemorrhage into the GIT called for an urgent revision of the abdomen which revealed an infrarenal aneurysm of the abdominal aorta which perforated into the first jejunal loop. The operation and first four days after operation were free from complications, then however the patient died suddenly. The cause of death was a third relapse of a myocardial infarction in the course of one year. The rare incidence of this complication of an aneurysm of the abdominal aorta and the fact that the patient survived three attacks of haemorrhage made the author present this paper.