ISSN 2149-5807 | E-ISSN 2149-6048
Case Report
Aortoenteric Fistula Causing Syncope and Gastrointestinal Bleeding
1 Department of Emergency, The Marqués De Valdecilla University Hospital, Santander, Spain  
2 Department of Intensive Care Unit, The Marqués De Valdecilla University Hospital, Santander, Spain  
Eurasian J Emerg Med 2018; 17: 36-38
DOI: 10.5152/eajem.2018.29290
Key Words: Aorto-enteric fistula, syncope, gastrointestinal bleeding
Abstract

Aortoenteric fistula (AEF) is an uncommon and emergency clinical condition of intra-abdominal bleeding. Early diagnosis can be achieved by computed tomography and endoscopy exploration. Surgical reconstruction is an urgent and multidisciplinary treatment and is recommended after the surgical intervention. A 76-year-old man with a history of abdominal aortic aneurysm reconstruction presented to the emergency department with syncope and suspected upper gastrointestinal (GI) bleeding, which began approximately 30 min before. In the hospital, the patient’s condition worsened and he developed cardiac arrest due to massive GI bleeding. The advanced cardiopulmonary resuscitation was initiated and with suspected active aortoenteric communication, an urgent laparoscopy was immediately performed.

 

Cite this article as: Grasun A, Valle HA, Gómez MA, Lastra LP, Ezquerra PG, Mateos Chaparro FM, et al. Aortoenteric Fistula Causing Syncope and Gastrointestinal Bleeding. Eurasian J Emerg Med. 2018; 17: 36-8.

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AVES | Copyright © 2018 Emergency Medicine Physicians Association of Turkey | Latest Update: 17.09.2018