A Rare but Fatal Instance of Gastrointestinal Bleeding: Primary Aortoenteric Fistula
Journal of the Korean Society of Emergency Medicine
;
: 398-401, 2010.
Article
in Korean
| WPRIM
| ID: wpr-94140
ABSTRACT
Primary aortoenteric fistula (PAEF) is a rare but catastrophic cause of gastrointestinal bleeding. The diagnosis of PAEF is difficult to make. The classic triad of symptoms, i.e. gastrointestinal bleeding, abdominal pain, and a pulsating abdominal mass is overemphasized, as it occurs in less than 11~25% of the patients. For two thirds of the patients, the diagnosis is made in the operating room. Endoscopic and radiographic studies are very helpful, but the absence of abnormalities can not exclude the diagnosis. PAEF is a clinical and surgical challenge associated with high mortality. A high index of suspicion, early diagnosis and prompt and appropriate surgical intervention are essential to patient survival. Two primary aortoenteric fistulas (aortoduodenal and aortoesophageal) cases are presented and the related literature are reviewed.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Operating Rooms
/
Aorta, Abdominal
/
Abdominal Pain
/
Vascular Fistula
/
Intestinal Fistula
/
Aortic Aneurysm, Abdominal
/
Early Diagnosis
/
Fistula
/
Hemorrhage
/
Gastrointestinal Hemorrhage
Type of study:
Diagnostic study
/
Screening study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2010
Type:
Article
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