Primary aortoduodenal fistula due to a swallowed sewing needle:  a rare cause of gastrointestinal bleeding

Ba�er, Murat; Arslant�rk, Hasan; Kisli, Erol; Arslan, Murat; �zt�rk, Tuncer; Uygan, �smail; Kotan, �etin

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Primary aortoduodenal fistula due to a swallowed sewing needle: a rare cause of gastrointestinal bleeding [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2007; 13(2): 154-157

Primary aortoduodenal fistula due to a swallowed sewing needle: a rare cause of gastrointestinal bleeding

Murat Ba�er¹, Hasan Arslant�rk¹, Erol Kisli¹, Murat Arslan¹, Tuncer �zt�rk¹, �smail Uygan², �etin Kotan¹
¹Y�z�nc� Y�l �niversitesi T�p Fak�ltesi Genel Cerrahi Anabilim Dal�, Van, T�rkiye
²Y�z�nc� Y�l �niversitesi T�p Fak�ltesi Gastroenteroloji Anabilim Dal�, Van, T�rkiye

Abdominal aorta ve duodenum aras�nda primer fist�l olu�umu nadir g�r�len ve y�ksek mortaliteye sahip bir durumdur. Ateroskleroz en s�k g�r�len fist�l nedenidir; bildirilen olgular�n ��te ikisinden fazlas�nda sorumludur. Kanserler, �lser, radyasyon, aortit ve yabanc� cisimler di�er etyolojik nedenlerdir. Burada diki� i�nesi yutulmas� sonucu olu�an aortoduodenal fist�le ba�l� masif �st gastrointestinal sistem kanamas� nedeniyle ameliyat etti�imiz 17 ya��ndaki olgu sunuldu. Ameliyatta diki� i�nesi i�eren kronik aortoduodenal fist�l bulunarak onar�ld�. Olgumuz i�ne yutma nedeniyle �ngilizce literat�rde sunulan d�rd�nc� aortoenterik fist�l olgusudur.

Anahtar Kelimeler: Primer aortoduodenal fist�l, diki� i�nesi; gastrointestinal kanama.

Diki� i�nesi yutulmas� sonucu olu�mu� primer aortoduodenal fist�le ba�l� nadir g�r�len bir masif �st gastrointestinal sistem kanamas�

Murat Ba�er¹, Hasan Arslant�rk¹, Erol Kisli¹, Murat Arslan¹, Tuncer �zt�rk¹, �smail Uygan², �etin Kotan¹
¹Departments Of General Surgery, Medicine Faculty Of Y�z�nc� Y�l University, Van, Turkey
²Department Of Gastroenterology, Medicine Faculty Of Y�z�nc� Y�l University, Van, Turkey

A primary fistula between the abdominal aorta and the duodenum is rare and usually fatal. Atherosclerosis remains the most common etiologic factor, accounting for more than two-thirds of the cases reported. Other etiologies include carcinoma, ulcers, radiation, aortitis and foreign bodies including sewing needle, cocktail stick, open safety pin and fishbone. We report a case of a 17 year-old girl who underwent surgical treatment because of severe upper gastrointestinal bleeding which was related to an aortoduodenal fistula caused by a swallowed sewing needle. At operation, a chronic aortoduodenal fistula that contained the sewing needle was found and repaired. This is the fourth case in the literature in which a needle was found to be associated with the development of an aortoenteric fistula.

Keywords: Primary aortoduodenal fistula, swallowed sewing needle; gastrointestinal bleeding.

Sorumlu Yazar: �etin Kotan, T�rkiye
Makale Dili: �ngilizce

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