Enigma of primary aortoduodenal fistula

Miklosh Bala*, Jacob Sosna, Liat Appelbaum, Eran Israeli, Araham I. Rivkind

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


A diagnosis of primary aortoenteric fistula is difficult to make despite a high level of clinical suspicion. It should be considered in any elderly patient who presents with upper gastrointestinal bleeding in the context of a known abdominal aortic aneurysm. We present the case of young man with no history of abdominal aortic aneurysm who presented with massive upper gastrointestinal bleeding. Initial misdiagnosis led to a delay in treatment and the patient succumbing to the illness. This case is unique in that the fistula formed as a result of complex atherosclerotic disease of the abdominal aorta, and not from an aneurysm.

Original languageAmerican English
Pages (from-to)3191-3193
Number of pages3
JournalWorld Journal of Gastroenterology
Issue number25
StatePublished - 7 Jul 2009
Externally publishedYes


  • Aortoduodenal fistula
  • Aortography
  • Computed tomography
  • Gastrointestinal hemorrhage


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