Primary Aortoduodenal Fistula: A Unique Presentation of a Pseudoaneurysm Associated with Cystic Medial Necrosis

Jonathan A. Rhim, Raymond A. Rubin, David A. Katzka, Giuseppe G. Pletra

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

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 nosuggestion 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.

Original languageEnglish (US)
Pages (from-to)447-450
Number of pages4
JournalThe American Journal of Gastroenterology
Volume88
Issue number3
DOIs
StatePublished - Mar 1993

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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