Presentation
Abdominal pain for a week. Umbilical, lower abdominal and PR bleeding for 48 hours. Vomiting with occasional coffee grounds. Previous AAA repair.
Patient Data
Age: 75 years
Gender: Male
From the case:
Aortoenteric fistula
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6.2 cm infrarenal aortic aneurysm containing gas with direct fistulation to the third part of the duodenum into which contrast is extravasating.
Pleural plaques. Lungs clear.
Case Discussion
This is the kind of scan which makes even the coolest radiologist's heart skip a beat.
An absolute classic CT of an aortoenteric fistula. Unless you are a vascular surgeon or interventional radiologist, you won't see too many of these in your career.
The patient died before any treatment could be commenced.