A Case of Primary Aortoenteric Fistula Mimicking Ulcer Bleeding / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 343-346, 2013.
Artículo
en Coreano
| WPRIM
| ID: wpr-39208
ABSTRACT
Primary aortoenteric fistula (PAEF) is a rare disease with a high mortality rate due to massive hemorrhaging and diagnostic difficulties. Although hemorrhagic regions can be identified by endoscopy, it is difficult to diagnose PAEF by this method. If PAEF is suspected, endoscopic procedure should be terminated and abdominal CT should be performed. Overlooking the herald bleeding of PAEF can lead to massive bleeding and death. An 85-year-old previously healthy male presented with a complaint of melena. Gastrointestinal endoscopy identified a hemorrhagic site in the third portion of the duodenum and endoscopic hemostasis was performed. However, during the procedure, it became apparent that the hemorrhage was probably not the result of a simple duodenal ulceration and abdominal CT was performed immediately. An aortic aneurysm connected to the duodenum was identified, confirming the diagnosis of PAEF. However, the patient died of massive hemorrhaging before an operation could be performed.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Tomografía Computarizada por Rayos X
/
Adhesivo de Tejido de Fibrina
/
Endoscopía Gastrointestinal
/
Aneurisma de la Aorta Abdominal
/
Diagnóstico Diferencial
/
Fístula
/
Hemorragia Gastrointestinal
Tipo de estudio:
Estudio diagnóstico
/
Estudio pronóstico
Límite:
Anciano
/
Aged80
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
The Korean Journal of Gastroenterology
Año:
2013
Tipo del documento:
Artículo
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