Diagnostic and management difficulty of bleeding aorto-duodenal fistula associated with hodgkin’s lymphoma

Boaz Nachmias*, Allan I. Bloom, Alexander Gural

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Primary aorto-enteric fistula (AEF) resulting from abdominal malignancy is a rare and often fatal complication. The few reports to date are mostly secondary to solid tumors. We present a case of a patient with refractory Hodgkin’s lymphoma who developed life-threatening AEF. We describe the diagnostic and therapeutic efforts, requiring a multi-disciplinary team of interventional radiology, gastroenterology, and transfusion medicine, resulting in a favorable outcome. Importantly, we offer several insights regarding the identification and management of high-risk patients, with an emphasis on pre-treatment considerations and urgent diagnosis and intervention.

Original languageAmerican English
Article number389
JournalDiagnostics
Volume11
Issue number3
DOIs
StatePublished - 25 Feb 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

  • Aortic-duodenal fistula
  • Hodgkin’s lymphoma
  • Massive bleeding protocol

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