Document Detail

Primary aortoduodenal fistula: a unique presentation of a pseudoaneurysm associated with cystic medial necrosis.
MedLine Citation:
PMID:  8438858     Owner:  NLM     Status:  MEDLINE    
A 42-yr-old man who exsanguinated from an acute upper gastrointestinal bleed was found to have a primary aortoduodenal fistula on postmortem examination. The fistula arose in an aortic pseudoaneurysm associated with cystic medial necrosis. Although there was no suggestion of Marfan's syndrome on physical examination, there was cystic medial necrosis of not only the involved aorta, but also other systemic arteries. Primary aortoduodenal fistula is a rare cause of acute upper gastrointestinal bleeding and is usually associated with atherosclerotic disease of the aorta. This is the first report of a pseudoaneurysm associated with cystic medial necrosis presenting as an aortoduodenal fistula.
J A Rhim; R A Rubin; D A Katzka; G G Pietra
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of gastroenterology     Volume:  88     ISSN:  0002-9270     ISO Abbreviation:  Am. J. Gastroenterol.     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-03-25     Completed Date:  1993-03-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0421030     Medline TA:  Am J Gastroenterol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  447-50     Citation Subset:  IM    
Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia.
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MeSH Terms
Aneurysm, False / complications*,  pathology
Aorta, Abdominal / pathology
Aortic Aneurysm, Abdominal / complications*,  pathology
Aortic Diseases / etiology*
Duodenal Diseases / etiology*
Fistula / etiology*
Gastrointestinal Hemorrhage / etiology
Intestinal Fistula / etiology*
Tunica Media / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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