Clin Endosc.  2024 May;57(3):407-408. 10.5946/ce.2023.281.

Aortoduodenal fistula bleeding caused by an aortic stent graft

• Hong S
• Kim GH

• KMID: 2555903
• DOI: http://doi.org/10.5946/ce.2023.281

Figure

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  Fig. 1. Upper gastrointestinal endoscopy reveals a foreign material (an aortic stent graft) and blood clot with vascular pulsation (asterisk) in the third part of the duodenum.

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  Fig. 2. Abdominal computed tomography reveals increased fat stranding around the aorta, which is indicative of inflammation, and a loss of the fat plane between the duodenum and aorta (arrows). (A) Pre-enhanced phase. (B) Arterial phase.

Reference

1. Kim BY, Kim KB. Primary aortoduodenal fistula causes massive melena: a case report. Korean J Gastroenterol. 2021; 77:132–135.

2. Janne d'Othée B, Soula P, Otal P, et al. Aortoduodenal fistula after endovascular stent-graft of an abdominal aortic aneurysm. J Vasc Surg. 2000; 31:190–195.

3. Kim SE, Kim HJ, Koh M, et al. A practical approach for small bowel bleeding. Clin Endosc. 2023; 56:283–289.