Penetrating peptic ulcer and aortic aneurysm with aortogastric fistula

The case of a 71-year-old woman with an aortogastric fistula caused by the combination of a penetrating peptic ulcer and an aortic aneurysm is reported. Treatment consisted of excision of the ulcer and primary prosthetic grafting of the aorta. Recovery was uneventful. The possible relationship between aortic aneurysm and peptic ulceration is discussed, as are therapeutic alternatives.