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

Boaz Nachmias; Allan I. Bloom; Alexander Gural

doi:10.3390/diagnostics11030389

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 journal › Article › peer-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 language	English
Article number	389
Journal	Diagnostics
Volume	11
Issue number	3
DOIs	https://doi.org/10.3390/diagnostics11030389
State	Published - 25 Feb 2021
Externally published	Yes

Bibliographical note

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

Keywords

Aortic-duodenal fistula
Hodgkin’s lymphoma
Massive bleeding protocol

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3390/diagnostics11030389

Cite this

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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{\textquoteright}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.",

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AB - 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.

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

Abstract

Bibliographical note

Keywords

UN SDGs

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