2002•European Journal of Gastroenterology & HepatologyRequires access
Primary aortojejunal fistula due to foreign body: a rare cause of gastrointestinal bleeding
Nikolaos Sevastos, Petros I. Rafailidis, Kyriakos Kolokotronis, Κonstantina Papadimitriou, George Papatheodoridis
Open publisher page 23 citations
Abstract
Primary and secondary aortoenteric fistulae are infrequent causes of gastrointestinal bleeding. We report a rare case of a 49-year-old man with bleeding due to an aortojejunal fistula caused by a foreign body. This is the fifth case in the literature in which a foreign body was found to be associated with the development of an aortoenteric fistula. Our patient presented with two herald bleeds with an interval time of 1 week; in previous cases, only one herald bleed has been reported. In addition to the usual resuscitation measures, the patient was treated with primary repair of the small-intestine defect and replacement of the aneurysm with a prosthetic aortic graft. He remains in excellent health thereafter.