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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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
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author Ditisheim, Saskia
Girardin, Marc
Dumonceau, Jean-Marc
Hadengue, Antoine
Frossard, Jean Louis
author_facet Ditisheim, Saskia
Girardin, Marc
Dumonceau, Jean-Marc
Hadengue, Antoine
Frossard, Jean Louis
author_sort Ditisheim, Saskia
collection PubMed
description 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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spelling pubmed-31806582011-09-29 Primary Aortodigestive Fistula: A Rare and Potentially Lethal Cause of Gastrointestinal Hemorrhage Ditisheim, Saskia Girardin, Marc Dumonceau, Jean-Marc Hadengue, Antoine Frossard, Jean Louis Case Rep Gastroenterol Published: August 2011 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. S. Karger AG 2011-08-18 /pmc/articles/PMC3180658/ /pubmed/21960944 http://dx.doi.org/10.1159/000329881 Text en Copyright © 2011 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published: August 2011
Ditisheim, Saskia
Girardin, Marc
Dumonceau, Jean-Marc
Hadengue, Antoine
Frossard, Jean Louis
Primary Aortodigestive Fistula: A Rare and Potentially Lethal Cause of Gastrointestinal Hemorrhage
title Primary Aortodigestive Fistula: A Rare and Potentially Lethal Cause of Gastrointestinal Hemorrhage
title_full Primary Aortodigestive Fistula: A Rare and Potentially Lethal Cause of Gastrointestinal Hemorrhage
title_fullStr Primary Aortodigestive Fistula: A Rare and Potentially Lethal Cause of Gastrointestinal Hemorrhage
title_full_unstemmed Primary Aortodigestive Fistula: A Rare and Potentially Lethal Cause of Gastrointestinal Hemorrhage
title_short Primary Aortodigestive Fistula: A Rare and Potentially Lethal Cause of Gastrointestinal Hemorrhage
title_sort primary aortodigestive fistula: a rare and potentially lethal cause of gastrointestinal hemorrhage
topic Published: August 2011
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180658/
https://www.ncbi.nlm.nih.gov/pubmed/21960944
http://dx.doi.org/10.1159/000329881
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