Primary aortoduodenal fistula: a rare cause of massive gastrointestinal hemorrhage

Stoyanov, George St.; Dzhenkov, Deyan; Petkova, Lilyana

doi:10.4322/acr.2021.301

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Autopsy Case Report • Autops. Case Rep. 11 • 2021 • https://doi.org/10.4322/acr.2021.301 copy

Primary aortoduodenal fistula: a rare cause of massive gastrointestinal hemorrhage

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Aortoduodenal fistula (ADF) is the most common type of aortoenteric fistula (AEF). This is a rare entity, which produces communication between an abdominal aortic aneurysm (AAA) and the gastrointestinal tract (GIT), resulting in massive gastrointestinal bleeding. AEF/ADF is difficult to recognize clinically, with the classical triad of symptoms including a pulsating, palpable mass, abdominal pain, and GIT bleeding. AEF/ADF can be classified into primary when a communication between an AAA and the GIT develops with no history of prior aortic reconstructive surgery, and secondary, where the communication is on the background of previous aortic reconstructive surgery. Herein we present a case report of a 75-year-old Caucasian male patient with a clinical history of AAA, who presented with massive GIT bleeding and expired shortly after. An autopsy revealed communication between an atherosclerotic AAA and the lower third of the duodenum.

Keywords
Pathology; Autopsy; Aortic Aneurysm; Digestive System Fistula

Hospital Universitário da Universidade de São Paulo Hospital Universitário da Universidade de São Paulo, Av. Prof. Lineu Prestes, 2565 - Cidade Universitária, 05508-000 - São Paulo - SP - Brasil, (16) 3307-2068, (16) 3307-2068 - São Paulo - SP - Brazil
E-mail: autopsy.hu@gmail.com

Acompanhe os números deste periódico no seu leitor de RSS

[1] Authors’ contributions: George St. Stoyanov performed the autopsy, wrote and edited the manuscript, and perform the literature review. Deyan L. Dzhenkov wrote the initial draft and also edited the manuscript. Lilyana Petkova, performed the literature review, edited the manuscript. All authors collectively approved the final version of the manuscript for publication.