Last update:


Arch Hellen Med, 33(4), July-August 2016, 671-670


Aortoenteric fistula as a cause of abdominal hemorrhage in a patient with chest pain and hypochromic, microcytic anemia

R. Giannas,1 S. Chini,1 C. Voulgari,1 K. Fotopoulou,1 G. Kopadis,2 P.K. Chatzigakis,2 S. Pagoni1
1Third Department of Internal Medicine,
2Department of Vascular Surgery, "G. Gennimatas" General Hospital of Athens, Athens, Greece

The case is presenting of a male patient aged 83 years, who initially presented with chest pain and was admitted with a diagnosis of anemia. He had previously undergone surgery for an abdominal aneurysm. There was no history of melena or hematemesis and rectal examination was negative. During his first day in hospital the patient had a massive hematemesis. On emergency abdominal computerized angiography an aortoenteric fistula was diagnosed. The patient was treated surgically with endovascular repair and was discharged 14 days later.

Key words: Abdominal hemorrhage, Anemia, Aneurysm, Aortoenteric fistula, Chest pain, Endovascular repair.

© Archives of Hellenic Medicine