Table 1 Demographic and clinical data of eight patients
April 2009 to April 2020: n = 8 patients | |
|---|---|
Age | 69.8 years (41–76 years) |
Sex | 5 males, 3 females |
Chief complaint | Hematemesis: 3 Black stool: 5 Shock: 2 Syncope: 1 Weakness: 1 |
Shock at presentation | 2 (25%) |
Mean hemoglobin at presentation | 7.09 g/dL (5.6–9.4 g/dL) |
Mean no. of blood transfusions | 7.5 (4–14) |
History of treatment for any aortic pathology | 8 (100%) |
Abdominal aortic aneurysm | |
After stent placement | 4 (50%) |
After artificial blood vessel replacement | 3 (37.5%) |
After periaortic irradiation | 1 (12.5%) |
Endoscopic findings | |
Stent exposed | 1 (12.5%) |
Pulsatile lesions (erosion, granulation, blood clots) | 4 (50%) |
Massive fresh bleeding of unknown origin in the duodenum identified | 3 (37.5%) |
Patients undergoing CT scan before endoscopy | 3 patients |
CT findings | |
Aorta and duodenum adjacent to each other | 3/3 (100%) |
Air in the aorta adjacent to the duodenum | 2/3 (66.7%) |
Patients undergoing CT scan after endoscopy | 4 patients |
CT findings | |
Aorta and duodenum adjacent to each other | 3/3 (100%) |
Extravascular leakage from the aorta to the duodenum | 2/3 (66.7%) |
Ectopic air in the aorta adjacent to the duodenum | 4 patients |
Saccular aneurysm adjacent to the duodenum | 3/3 (100%) |
Fistula site | Horizontal part: 7 Descending part: 1 |
Type of endoscope used in diagnosis | GIF-Q260J: 6 PCF-PQ260L: 2 |
Possible surgical treatment | 7 (87.5%) |
Outcome | Death during endoscopy: 1 (12.5%) Surgical treatment and survival: 7 (87.5%) |