Primary Aortodigestive Fistula: A Rare and Potentially Lethal Cause of Gastrointestinal Hemorrhage

Primary aortodigestive fistulas (PAFs) are a rare cause of gastrointestinal bleeding, with an incidence of 0.04-0.07% in autopsy series. The diagnosis of PAF is difficult and should be considered in patients with gastrointestinal hemorrhage of obscure origin. Because of its high mortality rate, clin...

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Detalles Bibliográficos
Autores principales: Ditisheim, Saskia, Girardin, Marc, Dumonceau, Jean-Marc, Hadengue, Antoine, Frossard, Jean Louis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2011
Materias:
Published: August 2011
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180658/
https://www.ncbi.nlm.nih.gov/pubmed/21960944
http://dx.doi.org/10.1159/000329881
Descripción
Sumario:Primary aortodigestive fistulas (PAFs) are a rare cause of gastrointestinal bleeding, with an incidence of 0.04-0.07% in autopsy series. The diagnosis of PAF is difficult and should be considered in patients with gastrointestinal hemorrhage of obscure origin. Because of its high mortality rate, clinical recognition of prodromal symptoms for early diagnosis is crucial for effective treatment. We report on the case of a 79-year-old patient with a PAF who was admitted for hematochezia and melena. The PAF was suspected during upper gastrointestinal endoscopy and confirmed by CT angiography.

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