Aorto-duodenal fistula

Discussion:

This patient has a past history of aorto-femoral bypass graft infection which was subsequently removed in surgery. The aorto-duodenal fistula is presumably secondary to previous chronic aorta infection/inflammation.

Thus, an aorto-duodenal fistula should always be suspected in patients who have undergone aortic graft surgery and present with hematemesis. 

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