Aorto-Digestive Fistula: A Serious Cause of Gastointestinal Bleeding

Abstract

Aortodigestive fistula is a rare and potentially serious cause of GI bleeding, with a very high mortality rate if not diagnosed and managed early. Upper gastrointestinal endoscopy, in addition to the CT scan, is a key examination in the diagnosis, provided that it is performed up to the third duodenum. An early and adapted surgical management remains the basis of the treatment of these fistulas, in addition to an anti-infectious treatment adapted to the identified germs, as well as all the pre- and postoperative resuscitation measures.