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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.






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.