Primary aortoduodenal fistula – overlooked because of guidelines?

Primary aortoduodenal fistula is an uncommon yet mostly lethal finding. We present a case of a 63 year-old male who exhibited significant upper gastrointestinal bleeding and hemorrhagic shock. Repeated endoscopies did not detect any source of bleeding. Emergency laparotomy disclosed an aortoduodenal...

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Autores principales: Wiesmueller, Felix, Neufert, Clemens, Siebler, Jürgen, Croner, Roland, Lang, Werner, Grützmann, Robert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: De Gruyter 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8668031/
https://www.ncbi.nlm.nih.gov/pubmed/34966833
http://dx.doi.org/10.1515/iss-2020-0007
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author Wiesmueller, Felix
Neufert, Clemens
Siebler, Jürgen
Croner, Roland
Lang, Werner
Grützmann, Robert
author_facet Wiesmueller, Felix
Neufert, Clemens
Siebler, Jürgen
Croner, Roland
Lang, Werner
Grützmann, Robert
author_sort Wiesmueller, Felix
collection PubMed
description Primary aortoduodenal fistula is an uncommon yet mostly lethal finding. We present a case of a 63 year-old male who exhibited significant upper gastrointestinal bleeding and hemorrhagic shock. Repeated endoscopies did not detect any source of bleeding. Emergency laparotomy disclosed an aortoduodenal fistula. Despite intense medical efforts for several months the patient did not fully recover and treatment was limited to palliative care. In light of the substantial mortality associated with this condition, computed tomography imaging should be performed in case of doubt to prevent delayed diagnosis.
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spelling pubmed-86680312021-12-28 Primary aortoduodenal fistula – overlooked because of guidelines? Wiesmueller, Felix Neufert, Clemens Siebler, Jürgen Croner, Roland Lang, Werner Grützmann, Robert Innov Surg Sci Case Report Primary aortoduodenal fistula is an uncommon yet mostly lethal finding. We present a case of a 63 year-old male who exhibited significant upper gastrointestinal bleeding and hemorrhagic shock. Repeated endoscopies did not detect any source of bleeding. Emergency laparotomy disclosed an aortoduodenal fistula. Despite intense medical efforts for several months the patient did not fully recover and treatment was limited to palliative care. In light of the substantial mortality associated with this condition, computed tomography imaging should be performed in case of doubt to prevent delayed diagnosis. De Gruyter 2020-10-29 /pmc/articles/PMC8668031/ /pubmed/34966833 http://dx.doi.org/10.1515/iss-2020-0007 Text en © 2020 Felix Wiesmueller et al., published by De Gruyter, Berlin/Boston https://creativecommons.org/licenses/by/4.0/This work is licensed under the Creative Commons Attribution 4.0 International License.
spellingShingle Case Report
Wiesmueller, Felix
Neufert, Clemens
Siebler, Jürgen
Croner, Roland
Lang, Werner
Grützmann, Robert
Primary aortoduodenal fistula – overlooked because of guidelines?
title Primary aortoduodenal fistula – overlooked because of guidelines?
title_full Primary aortoduodenal fistula – overlooked because of guidelines?
title_fullStr Primary aortoduodenal fistula – overlooked because of guidelines?
title_full_unstemmed Primary aortoduodenal fistula – overlooked because of guidelines?
title_short Primary aortoduodenal fistula – overlooked because of guidelines?
title_sort primary aortoduodenal fistula – overlooked because of guidelines?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8668031/
https://www.ncbi.nlm.nih.gov/pubmed/34966833
http://dx.doi.org/10.1515/iss-2020-0007
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