Year 2021 / Volume 113 / Number 12
Letter
COVID-19 and aorto-enteric fistula

852-853

DOI: 10.17235/reed.2021.8272/2021

Albert González-Sagredo, Elena Iborra Ortega, Carolina Herranz Pinilla, Juli Busquets, Teresa López-Sobrino, Ramón Vila Coll,

Abstract
We present the case of a 72-year-old male with upper gastrointestinal bleeding. He had been discharged from hospital two weeks before after severe COVID-19 infection, treated with lopinavir-ritonavir (L-R), hydroxychloroquine, tocilizumab, and methylprednisolone. On presentation, he was in hypovolemic shock. Esophagogastroduodenoscopy showed an ulcer in the third duodenal portion, which was sclerosed and hemodynamic stability was recovered. A scan was performed as it was in an atypical location for ulcers, showing an aortic aneurysm in close relationship to the duodenum, suggesting a primary aortoenteric fistula (PAEF).
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25/01/2022 8:23:33
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References
1. Ishimine T, Tengan T, Yasumoto H et al. Primary aortoduodenal fistula: A case report and review of literature. Int J Surg Case Rep. 2018;50:80-83. doi:10.1016/j.ijscr.2018.07.019
2. Eberhardt M. Primary aortoduodenal fistula due to septic aortitis. J Cardiovasc Surg. 1992;21(1):1-9.
3. Lee S, Lai Y, Wen W. Aortoenteric fistula secondary to an inflammatory abdominal aortic aneurysm. J Radiol Case Rep. 2019;13(9):8-27. doi:10.3941/jrcr.v13i9.3746
DOI: 10.17235/reed.2020.7137/2020
5. FDA: https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/021251s052_021906s046lbl.pdf. 2016.
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Citation tools
González-Sagredo A, Iborra Ortega E, Herranz Pinilla C, Busquets J, López-Sobrino T, Vila Coll R, et all. COVID-19 and aorto-enteric fistula. 8272/2021


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Publication history

Received: 10/08/2021

Accepted: 01/09/2021

Online First: 07/09/2021

Published: 09/12/2021

Article Online First time: 28 days

Article editing time: 121 days


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