Aorto duodenal fistula

Case contributed by Dr Domenico Nicoletti

Presentation

Abdominal pain with rising inflammatory markers and edema right lower limb.

Patient Data

Age: 80
Gender: Male
CT

Infrarenal aorta is included in the horizontal part of the duodenum without signs of bleeding.

Air in the aortic wall with thrombosis in the right internal iliac artery.

Case Discussion

Aorto-enteric fistulas can be:

  1. Primary: by rupture aorta through aorto-enteric fistula into a closely adherent portion of gastrointestinal tract with bleeding.
  2. Secondary: to complication of vascular prostheses or intestinal diseases.

The most frequent location of aorto-enteric fistula is the third duodenal segment (D3).

Courtesy: Dott.ssa Sara Zanzani

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Case information

rID: 42790
Case created: 8th Feb 2016
Last edited: 3rd Mar 2016
Inclusion in quiz mode: Included

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