Abstract
Background Primary aortoduodenal fistula (PADF) is a rare, serious complication of abdominal aortic aneurysm (AAA). Frequently the diagnosis is missed due to the rarity of disease. Case description A 76 year old, Male referred to GIT center in our hospital suffering from severe upper gastrointestinal bleeding and melena. All investigation appears normal apart from elevated blood urea with 3 sessions of upper GIT endoscopy by expert GI Physician with no evidence of cause for the bleeding (he put in her mind Dieulaphoy lesion).
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