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Gastrointestinal Bleeding
Findings from T.J. Tsai et al in gastrointestinal bleeding reported
March 25th, 2008
"Upper gastrointestinal bleeding from primary aortoduodenal fistula (PADF) is unusual and fatal. The etiology of PADF from tuberculous aortitis is rare," scientists writing in the Journal of the Formosan Medical Association report. "We report a 69-year-old male patient who suffered recurrent hematemesis and hematochezia with hypovolemic shock of unknown origin. Initial endoscopy failed to lead to a diagnosis. A bleeder over the third portion of the duodenum was found after the third endoscopy. Exploratory laparotomy showed a ruptured aortic pseudoaneurysm with an aortoduodenal fistula. Dacron graft repair of the aorta and simple closure of the duodenal fistula...
Source: TB & Outbreaks Week (2008-03-25)
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