A strange case of upper obstructive syndrome

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TC scan showing an area with the characteristics of inflammatory tissue including air bubbles between the duodenum and aortic-bi-femoral prosthesis adherent to the third duodenal portion. Credit: World Journal of Gastroenterology
TC scan showing an area with the characteristics of inflammatory tissue including air bubbles between the duodenum and aortic-bi-femoral prosthesis adherent to the third duodenal portion. Credit: World Journal of Gastroenterology

Aorto-duodenal fistulae (ADF) are the most frequent aorto-enteric fistulae (80%) and the most frequent presenting sign of ADF is upper gastrointestinal bleeding (UGI). A 59-year-old male patient, who underwent an aortic-bi-femoral bypass five years ago, was admitted to the Emergency Room after five days of persistent occlusive syndrome with dyspepsia and biliary vomiting.


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