Fatal gastrointestinal haemorrhage due to coexisting primary aorto-enteric and aorto-colic fistulae. Complicating untreated atheromatous abdominal aortic aneurysm

We report a case of aorto-enteric and aorto-colonic fistulae in a 73 year old man with no previous abdominal surgery which resulted in massive gastrointestinal haemorrhage and death and was undiagnosed despite several hospital admissions and endoscopic examinations. This case serves to highlight an...

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Veröffentlicht in:	Forensic science international 1998-09, Vol.96 (2), p.101-106
Hauptverfasser:	Beh, P.S.L, Dickens, P
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen Abdominal aortic aneurysm Aged Aorta Aortic Aneurysm, Abdominal - complications Aortic Aneurysm, Abdominal - diagnosis Aortic Aneurysm, Abdominal - pathology Aortic aneurysms Aortic Diseases - complications Aortic Diseases - diagnosis Aortic Diseases - pathology Aorto-colonic fistula Aorto-enteric fistula Autopsies Biological and medical sciences Blood clots Case reports Colon Colonic Diseases - complications Colonic Diseases - diagnosis Colonic Diseases - pathology Coronary vessels Diagnostic Errors Endoscopy Fatal complication Fatal Outcome Fistula Fistulae Gastroenterology. Liver. Pancreas. Abdomen Gastrointestinal Hemorrhage - diagnosis Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - pathology Hemoglobin Hemorrhage Humans Intestinal Fistula - complications Intestinal Fistula - diagnosis Intestinal Fistula - pathology Male Medical sciences Other diseases. Semiology Reconstructive surgery Small intestine Stomach Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Ulcers Vascular Fistula - complications Vascular Fistula - diagnosis Vascular Fistula - pathology Veins & arteries
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Zusammenfassung:	We report a case of aorto-enteric and aorto-colonic fistulae in a 73 year old man with no previous abdominal surgery which resulted in massive gastrointestinal haemorrhage and death and was undiagnosed despite several hospital admissions and endoscopic examinations. This case serves to highlight an extremely rare but fatal condition, which is potentially treatable, if an early diagnosis is made.
ISSN:	0379-0738 1872-6283
DOI:	10.1016/S0379-0738(98)00121-2