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Detection of an aortoenteric fistula in a patient with intermittent bleeding

Nature Clinical Practice Gastroenterology & Hepatology volume 5, pages 226–230 (2008)Cite this article

An Erratum to this article was published on 01 May 2008

Abstract

Background A 57-year-old male with an aortobifemoral bypass graft presented to a gastroenterology clinic with a 3-month history of intermittent hematemesis, melena and fever. The patient had received antibiotic therapy 2 months before for the same symptoms; however, following brief regression (∼3 weeks) the symptoms had returned.

Investigations Physical examination; analysis of full blood count; measurement of erythrocyte sedimentation rate, C-reactive protein levels, liver enzymes, electrolytes, renal function, serum cholesterol and serum triglyceride; HIV serology; blood, sputum, urine and stool culture analysis; performance of esophagogastroduodenoscopy, colonoscopy, abdominal ultrasonography and multidetector CT scanning.

Diagnosis Aortoenteric fistula with an inflammatory mass surrounding the aortobifemoral bypass graft.

Management Laparotomy with removal of the aortobifemoral bypass graft, performance of an extra-anatomic right axillofemoral bypass graft and an extra-anatomic right-left femorofemoral bypass graft.

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Figure 1: Multidetector CT scan of the case patient.
Figure 2: Midsagittal multiplanar reconstruction of the multidetector CT images of the case patient.

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Authors and Affiliations

  1. İ Yüksel and E Uçar are Specialists in the Department of Gastroenterology and K Arda is an Assistant Professor in the Department of Radiology at Türkiye Yüksek İhtisas Hospital, B Ödemiş, Ö Başar, İ Ertuğrul, M İbiş, Sıhhıye, Ankara, Turkey.,

    Bülent Ödemiş, Ömer Başar, İbrahim Ertuğrul, Mehmet İbiş, İlhami Yüksel, Engin Uçar & Kemal Arda

Authors
  1. Bülent Ödemiş
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  2. Ömer Başar
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  3. İbrahim Ertuğrul
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  4. Mehmet İbiş
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  5. İlhami Yüksel
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  6. Engin Uçar
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  7. Kemal Arda
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Correspondence to Ömer Başar.

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Ödemiş, B., Başar, Ö., Ertuğrul, İ. et al. Detection of an aortoenteric fistula in a patient with intermittent bleeding. Nat Rev Gastroenterol Hepatol 5, 226–230 (2008). https://doi.org/10.1038/ncpgasthep1075

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  • DOI: https://doi.org/10.1038/ncpgasthep1075

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