Abstract
Primary aorto enteric fistula is a very rare but life threatening condition. We report a case of primary aorto enteric fistula in a 62-year-old man whose diagnosis was only made at laparotomy. A high index of suspicion along with a good history and physical exam is critical for making a successful diagnosis. Surgical exploration is warranted if other investigation is not conclusive.
Highlights
Aorto enteric fistula (AEF) is a rare life threatening complication of aortic surgery
We report a case of primary aorto enteric fistula in a 62-year-old man whose diagnosis was only made at laparotomy
A high index of suspicion along with a good history and physical exam is critical for making a successful diagnosis
Summary
Aorto enteric fistula (AEF) is a rare life threatening complication of aortic surgery. The following day, patient collapsed while walking to the toilet His pulse rate was 110/min with a systolic pressure of 80 mmHg. CT scan early in the day showed a 5 cm infrarenal AAA. Physical examination may demonstrate palpable AAA with abdominal bruit In this case the initial abdominal ultrasound scan measured the aorta at 2.6 cm. If the initial scan has picked up an AAA, a CT would certainly follow rapidly as the patient presented with abdominal pain. This might help to reach the diagnosis earlier.
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