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2019•GOVARESHRequires access

A 68-Year-Old Man with Recurrent Upper Gastrointestinal Bleeding

Mohammad Hossein Somi, Masood Faghih Dinevari, Amin Sadrazar, Ali Reza Riazi, Reza Javadrashid, Mohammad Bassir Abolghasemi Fakhri

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Abstract

In the present report, a 68-year-old man with recurrent hematemesis and melena is described. Upper gastrointestinal (UGI) endoscopy and colonoscopy showed normal findings. Abdominal computed tomography showed an aneurysm of left common iliac artery and duodenum located at the superior part of the aneurysm without contrast extravasation. So the aortoenteric fistula was suspected and surgical management of aortoenteric fistula (AEF) was done and the patient recovered successfully without complications. The diagnostic evaluation and management of AEF are discussed.

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What this paper is about

In the present report, a 68-year-old man with recurrent hematemesis and melena is described. Upper gastrointestinal (UGI) endoscopy and colonoscopy showed normal findings. Abdominal computed tomography showed an aneurysm of left common iliac artery and duodenum located at the superior part of the aneurysm without contrast extravasation. So the aortoenteric fistula was suspected and surgical management of aortoenteric fistula (AEF) was done and the patient recovered successfully without complications. The diagnostic evaluation and management of AEF are discussed.

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Available abstract

In the present report, a 68-year-old man with recurrent hematemesis and melena is described. Upper gastrointestinal (UGI) endoscopy and colonoscopy showed normal findings. Abdominal computed tomography showed an aneurysm of left common iliac artery and duodenum located at the superior part of the aneurysm without contrast extravasation. So the aortoenteric fistula was suspected and surgical management of aortoenteric fistula (AEF) was done and the patient recovered successfully without complications. The diagnostic evaluation and management of AEF are discussed.

Key concepts: Melena, Medicine, Aortoenteric fistula, Colonoscopy, Gastrointestinal bleeding, Duodenum, Radiology, Hematochezia

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