Potentially lethal enteric bleeding in the ED

The American Journal of Emergency Medicine
Hung-Chen LeeYu-Che Chang

Abstract

Spontaneous or primary aortoduodenal fistula (PADF) is an uncommon etiology of upper gastrointestinal bleeding and may potentially cause sudden and unexpected death. Early diagnosis of this disease is difficult, and the mortality rate was reported near 100% when surgery is delayed. The emergency physician (EP) plays a major role in the early diagnosis of aortoduodenal fistula. A PADF should be included in the differential diagnosis when EPs treated emergency department patients with gastrointestinal bleeding, especially those in combination with known abdominal aortic aneurysm or palpable pulsating abdominal mass. Besides, abdominal computed tomography should be considered in patients with recurrent large amount of gastrointestinal bleeding without significant endoscopic findings. Prompt diagnosis and surgical intervention may preserve the life of these patients.

References

Nov 29, 1976·JAMA : the Journal of the American Medical Association·R L Schapiro, F J Hahn
Jan 1, 1985·The Journal of Emergency Medicine·K B Curran, T MacMath
May 1, 1996·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R VoorhoeveT J Bast
Feb 3, 2005·The British Journal of Surgery·S J F Saers, M R M Scheltinga
May 30, 2006·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Hung-Chin TsaiYung-Ching Liu
Aug 26, 2006·Abdominal Imaging·Fiona M HughesDermot E Malone
Jan 26, 2008·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Tzung-Jiun TsaiTing-Ying Fu

❮ Previous
Next ❯

Citations

Dec 20, 2015·Postgraduate Medical Journal·Sanjin BajgoricArun Pherwani
May 14, 2016·Annals of Vascular Surgery·Mercy VargheseJarl Moland
Nov 17, 2017·Medicine, Science, and the Law·Ritesh G MenezesMohammed Madadin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Related Papers

European Journal of Internal Medicine
Jorge DelgadoGabriel Szendro
Canadian Journal of Surgery. Journal Canadien De Chirurgie
R T Lewis, C M Allan
Chang Gung Medical Journal
Meng-Wei ChangShy-Shin Chang
Angiologii︠a︡ i sosudistai︠a︡ khirurgii︠a︡ = Angiology and vascular surgery
P PoderA Pulges
© 2022 Meta ULC. All rights reserved