Aortoenteric fistula

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis certain

Presentation

Hematemesis and hemoglobin drop

Patient Data

Age: 70 years
Gender: Male
ct

Active contrast extravasation on arterial phase is visible from the infra-renal abdominal aorta, anteriorly as a small bulge/beak, which fills the duodenum.

Significant atheromatous disease of the aorta is also seen.

Case Discussion

This is a classical case of aorto-enteric fistula with active bleeding.

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