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"AORTOENTERIC FISTULA"

May be primary (e.g. due to abdominal aortic aneurysm ) or more commonly secondary (e.g. post-aortic repair). The third to fourth part of th...

May be primary (e.g. due to abdominal aortic aneurysm) or more commonly secondary (e.g. post-aortic repair). The third to fourth part of the duodenum is commonly affected. A smaller ‘herald’ bleed tends to precede massive GI haemorrhage.
CT

•  Periaortic/perigraft gas >3 months after surgery/intervention
•  Disruption of the aortic wall
•  Pseudoaneurysm
•  Extravasation of contrast to the bowel lumen