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
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Dickens, P
description 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.
doi_str_mv 10.1016/S0379-0738(98)00121-2
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This case serves to highlight an extremely rare but fatal condition, which is potentially treatable, if an early diagnosis is made.</description><identifier>ISSN: 0379-0738</identifier><identifier>EISSN: 1872-6283</identifier><identifier>DOI: 10.1016/S0379-0738(98)00121-2</identifier><identifier>PMID: 9854827</identifier><identifier>CODEN: FSINDR</identifier><language>eng</language><publisher>Kidlington: Elsevier Ireland Ltd</publisher><subject>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. 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Complicating untreated atheromatous abdominal aortic aneurysm</title><title>Forensic science international</title><addtitle>Forensic Sci Int</addtitle><description>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.</description><subject>Abdomen</subject><subject>Abdominal aortic aneurysm</subject><subject>Aged</subject><subject>Aorta</subject><subject>Aortic Aneurysm, Abdominal - complications</subject><subject>Aortic Aneurysm, Abdominal - diagnosis</subject><subject>Aortic Aneurysm, Abdominal - pathology</subject><subject>Aortic aneurysms</subject><subject>Aortic Diseases - complications</subject><subject>Aortic Diseases - diagnosis</subject><subject>Aortic Diseases - pathology</subject><subject>Aorto-colonic fistula</subject><subject>Aorto-enteric fistula</subject><subject>Autopsies</subject><subject>Biological and medical sciences</subject><subject>Blood clots</subject><subject>Case reports</subject><subject>Colon</subject><subject>Colonic Diseases - complications</subject><subject>Colonic Diseases - diagnosis</subject><subject>Colonic Diseases - pathology</subject><subject>Coronary vessels</subject><subject>Diagnostic Errors</subject><subject>Endoscopy</subject><subject>Fatal complication</subject><subject>Fatal Outcome</subject><subject>Fistula</subject><subject>Fistulae</subject><subject>Gastroenterology. 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subjects 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
title Fatal gastrointestinal haemorrhage due to coexisting primary aorto-enteric and aorto-colic fistulae. Complicating untreated atheromatous abdominal aortic aneurysm
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