Aortoenteric Fistula Assocaited with Acute Myocardial Infarcation
A 64-year-old male with a prior abdominal aortic graft for lower limb ischemia presented with melena and myocardial infarction. Despite aggressive investigation, an aortoenteric fistula was not diagnosed until after massive gastrointestinal hemorrhage. The patient's myocardial infarction may ha...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
1990-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/1990/932101 |
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| Summary: | A 64-year-old male with a prior abdominal aortic graft for lower
limb ischemia presented with melena and myocardial infarction. Despite aggressive
investigation, an aortoenteric fistula was not diagnosed until after massive
gastrointestinal hemorrhage. The patient's myocardial infarction may have heen
precipitated by hypotension induced by hemorrhage through the aortoenteric
fistula. Patients with prior abdominal aortic graft surgery presenting with
gastrointestinal bleeding, abdominal pain or occult sepsis need to be aggressively
investigated to determine whether an aortoenteric fistula is present. Laparotomy
should be done in such patients if no cause for these symptoms can be determined. |
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| ISSN: | 0835-7900 |