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  • Title: [Aorto-duodenal fistula--a rare cause of upper gastrointestinal hemorrhage].
    Author: Pross M, Schulz HU, Halloul Z, Mantke R, Lippert H.
    Journal: Z Gastroenterol; 1999 Sep; 37(9):785-7. PubMed ID: 10522364.
    Abstract:
    Upper gastrointestinal hemorrhage is the most frequent indication for emergency endoscopy. In most of the cases the bleeding is primarily treated endoscopically. The duodenal penetration of an aortic graft implant is a rare condition, only accidentally diagnosed by endoscopy. This condition represents a difficult situation for the endoscopist since it is usually not included in the differential diagnosis. Additionally hemostasis can not be achieved by endoscopic intervention. Therefore the instant realization of this dangerous diagnosis is extremely important, because only surgical therapy in a center of vascular surgery may save the live of the patient.
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