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  • Title: Upper gastrointestinal bleeding due to primary aortoenteric fistula.
    Author: Gourgiotis S, Moustafellos P, Zavos A, Dimopoulos N, Vericouki C, Panteli A.
    Journal: Chirurgia (Bucur); 2006; 101(6):633-4. PubMed ID: 17283840.
    Abstract:
    Primary aortoenteric fistula (PAEF) is a rare but clinically important cause of catastrophic gastrointestinal bleeding. "Herald bleeding" is a characteristic symptom which refers to specific case of upper gastrointestinal bleeding that stop temporarily spontaneously and then proceeds to massive bleeding. We present the case report of a 55-year-old male with PAEF who was admitted due to upper gastrointestinal bleeding. Endoscopic studies were unremarkable and patient underwent exploratory laparotomy. The postoperative course was uneventful. A high index of suspicion, early diagnosis and prompt appropriate surgical intervention are crucial for survival of patient with PAEF. Gastrointestinal bleeding combined with a negative endoscopy suggests PAEF. Endovascular operation is an attractive treatment option.
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