Author(s)

Nada Lahmidani^*, Mouna Figuigui, Hakima Abid, Mounia El Yousfi, Mohammed El Abkari, Sidi Adil Ibrahimi, Dafr Allah Benajah

Department of Gastroenterology, University Hospital Hassan II, Sidi Mohammed Ben Abdallah University, Fez, Morocco.

Backgound: Aorto-digestive fistulas remain a fatal disease entity often occurring after vascular surgeries. Eso-gastro-duodenal endoscopy is essential to explore the upper digestive bleeding. The negativity of morphological examinations should not exclude the diagnosis. Diagnosis has benefited in recent years from developments in cross-sectional imaging: computed tomography (CT) and magnetic resonance imaging (MRI). The severity of bleeding is linked to the vital consequences (mortality close to 50% up to 100% in the absence of treatment), functional (30% amputation), and to the underlying infection itself correlated with the attack of the stent and the anastomosis. Patients: We report three cases of aorto-digestive fistulas treated at The University Hospital Hassan II to show the challenging diagnosis and therapeutic of such rare causes of upper digestive bleeding. Results: three patients were admitted to the emergency endoscopy unit for upper digestive bleeding, 2 of them had a medical history of Behcet Disease and two had past aortic aneurism surgery. The couple’s upper endoscopy and CT scan angiography made the diagnosis. Unfortunately, 2 patients died from fatal bleeding. Conclusion: Aortodigestive fistula is an extremely serious complication of aortic aneurisms and a rare cause of gastrointestinal bleeding. This diagnosis should be considered in any patient presenting with digestive bleeding with vascular disease or previous history of vascular stent.

Aorto Digestive, Fistula, Bleeding, Endoscopy, Primary

Lahmidani, N. , Figuigui, M. , Abid, H. , El Yousfi, M. , El Abkari, M. , Ibrahimi, S. and Benajah, D. (2021) Aortodigestive Fistula: A Rare Cause of Digestive Bleeding. Case Reports in Clinical Medicine, 10, 126-132. doi: 10.4236/crcm.2021.104015.