Primary aorto enteric fistula as a cause of massive upper gastro-intestinal bleed-a very rare case presentation

Authors

  • Rohith Mudadla Institute of Surgical Gastroenterology and Liver Transplantation, Stanley Medical College, Chennai, Tamil Nadu, India http://orcid.org/0000-0001-6500-3104
  • Harshit Kamal Institute of Surgical Gastroenterology and Liver Transplantation, Stanley Medical College, Chennai, Tamil Nadu, India
  • Govind Purushothaman Institute of Surgical Gastroenterology and Liver Transplantation, Stanley Medical College, Chennai, Tamil Nadu, India
  • Jeswanth Satyanesan Institute of Surgical Gastroenterology and Liver Transplantation, Stanley Medical College, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20222243

Keywords:

PAEF, CTA, GI

Abstract

Primary aortoenteric fistula (PAEF) is spontaneous development of communication between the native aorta and anywhere within the gastrointestinal tract. It is extremely rare and fatal condition which usually presents as a painless upper gastrointestinal bleed. This condition is often overlooked because of it's rarity and low index of suspicion by physicians despite the availability of a wide range of diagnostic tools. Computed tomography angiography (CTA) is the most common investigation done to diagnosis PAEF. This paper reports a case of 49 years old female with massive upper gastrointestinal (GI) bleeding. A PAEF was diagnosed by CTA which called for an emergency laparotomy with surgical repair of the fistula with a synthetic vascular bypass graft. The patient recovered well.

Author Biographies

Harshit Kamal, Institute of Surgical Gastroenterology and Liver Transplantation, Stanley Medical College, Chennai, Tamil Nadu, India

nstitute of Surgical Gastroenetrology and Liver Transplantation

Govind Purushothaman, Institute of Surgical Gastroenterology and Liver Transplantation, Stanley Medical College, Chennai, Tamil Nadu, India

Institute of Surgical Gastroenetrology and Liver Transplantation

Jeswanth Satyanesan, Institute of Surgical Gastroenterology and Liver Transplantation, Stanley Medical College, Chennai, Tamil Nadu, India

Institute of Surgical Gastroenetrology and Liver Transplantation

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Published

2022-08-26

Issue

Section

Case Reports