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Anesth Analg 2005;101:1157-1159
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000175769.11560.FE

CRITICAL CARE AND TRAUMA

Primary Aortoenteric Fistula: Should Enhanced Computed Tomography be Considered in the Diagnostic Work-Up?

Alice Wood, BSc, MBBS*, Si-Mhamed Bendjelid, MD{dagger}, and Karim Bendjelid, MD, MS*

*Division of Surgical Intensive Care, Department APSIC, University Hospitals of Geneva, Switzerland; {dagger}Department of Radiology, Hospital of Moulins, France

Address correspondence and reprint requests to Karim Bendjelid, MD, MS, Surgical Intensive Care Division, University Hospital of Geneva, CH-1211, Geneva 14, Switzerland. Address e-mail to karim.bendjelid{at}hcuge.ch.

We present the case of a 66-yr-old woman who was admitted to a surgical intensive care unit with life-threatening rectal bleeding. Despite the use of angiography and repeated computed tomography scans, the diagnosis of a primary aortoduodenal fistula secondary to an abdominal aortic aneurysm was not made, leading to a delay in diagnosis until the time of surgery. The reliability of radiological investigations and the importance of being alert to the possibility of this extremely rare condition are discussed.




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Q. D. M. Vu, C. O. Menias, S. Bhalla, C. Peterson, L. L. Wang, and D. M. Balfe
Aortoenteric Fistulas: CT Features and Potential Mimics
RadioGraphics, January 1, 2009; 29(1): 197 - 209.
[Abstract] [Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.