Introduction
Aortoenteric fistula is an uncommon cause of upper gastrointestinal bleeding which is life-threatening if not treated. This complication may occur even months to years after surgery. It is commonly observed in patients who have undergone previous aortic surgery and rarely occurs in patients with a history of gastrointestinal tract surgery. The diagnosis of aortoenteric fistula depends on a high level of clinical suspicion.
Medical History
We present a 53 year old male patient applied to emergency service with complaint of massive upper gastrointestinal tract bleeding. He was operated because of malign gastric neoplasm and total gastrectomy, esophagojejunostomy and Roux-n-y operation had been made. Contrast aortagraphy and abdominal computed tomography was taken (Figure-1), however there were some irregularities along the wall of abdominal aorta in horizontal planes, and also somewhat bondage formation was detected between abdominal aorta and bowel segment in relation. Urgent laparotomy was planned after failed endoscopy and sclerotherapy and incision was made from old umblical median incision site. During explorative laparotomy, a broad hematoma was seen around Roux-n-y anastomosis site. Hematoma was related with abdominal aorta and unity of anastomosis site was deteriorated markedly. After clamping of abdominal aorta, it was repaired primarily. Deteriorated anastomosis site was revised then. Patient was discharged from hospital at post-op 10th day.
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