The American journal of case reports · 2013
Primary aorto-enteric fistula - a unique complication of poorly differentiated large B-cell lymphoma.
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Shulik Oleg, Marling Kyle, Butler Jill
Аннотация
UNLABELLED: Patient: Male, 76 Final Diagnosis: Aorto-enteric fistula Symptoms: Abdominal pain • bloody vomiting • shock Medication: - Clinical Procedure: CT abdomen with contrast Specialty: Gastroenterology • vascular surgery.
OBJECTIVE: Rare disease.
BACKGROUND: Primary Aorto-Enteric Fistula (PAEF) is a unique and rare life threatening communication between the Aorta and Gastrointestinal Tract with an unusually high mortality rate and delayed diagnosis. Aortic abdominal aneurysms are implicated in a vast majority of cases while cancer as an etiology of PAEF is extremely rare.
CASE REPORT: We present the first case report of a PAEF secondary to Large B-Cell Lymphoma, followed by a review of literature in regards to malignant aorto-enteric fistulae.
CONCLUSIONS: We conclude that physicians should maintain a high index of suspicion for PAEF in any patient with unexplained anemia and history of aortic abdominal aneurysm complicated by cancer.
OBJECTIVE: Rare disease.
BACKGROUND: Primary Aorto-Enteric Fistula (PAEF) is a unique and rare life threatening communication between the Aorta and Gastrointestinal Tract with an unusually high mortality rate and delayed diagnosis. Aortic abdominal aneurysms are implicated in a vast majority of cases while cancer as an etiology of PAEF is extremely rare.
CASE REPORT: We present the first case report of a PAEF secondary to Large B-Cell Lymphoma, followed by a review of literature in regards to malignant aorto-enteric fistulae.
CONCLUSIONS: We conclude that physicians should maintain a high index of suspicion for PAEF in any patient with unexplained anemia and history of aortic abdominal aneurysm complicated by cancer.