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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Related Experiment Video

Updated: Apr 15, 2026

Technical Aspects of the Mouse Aortocaval Fistula
06:12

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Primary aortoenteric fistula: case report.

R Costea, E C Zărnescu Vasiliu, N O Zărnescu

    Chirurgia (Bucharest, Romania : 1990)
    |March 25, 2015
    PubMed
    Summary

    This case report details an 81-year-old woman with an extremely rare primary aortoenteric fistula. The condition involved an abdominal aortic aneurysm (AAA) and the duodenum, leading to severe gastrointestinal bleeding.

    Area of Science:

    • Vascular Surgery
    • Gastroenterology
    • Diagnostic Imaging

    Background:

    • Primary aortoenteric fistula is a rare but life-threatening condition.
    • It typically involves a connection between the aorta and the gastrointestinal tract.
    • Symptoms often include gastrointestinal bleeding and abdominal pain.

    Observation:

    • An 81-year-old female presented with hematemesis, hematochezia, and lower abdominal pain.
    • Abdominal ultrasound and CT scan revealed a primary aortoenteric fistula.
    • The fistula was located between an abdominal aortic aneurysm (AAA) and the second part of the duodenum.

    Findings:

    • The diagnosis of a primary aortoenteric fistula was confirmed.
    • The specific localization between the AAA and the duodenum is exceptionally rare.

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  • Management strategies for this rare condition were considered.

    • Implications:

    • This case highlights the importance of considering rare diagnoses in patients with unexplained gastrointestinal bleeding.
    • Prompt and accurate diagnosis using imaging modalities like CT is crucial.
    • Effective surgical management is essential for patient survival in cases of aortoenteric fistula.