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dc.contributor.authorVegunta, Radhakrishna
dc.contributor.authorVegunta, Rathnamitreyee
dc.contributor.authorKutti Sridharan, Gurusaravanan
dc.date.accessioned2019-10-11T20:06:53Z
dc.date.available2019-10-11T20:06:53Z
dc.date.issued2019-09-05
dc.identifier.citationVegunta R, Vegunta R, Kutti Sridharan G (September 05, 2019) Secondary Aortoduodenal Fistula Presenting as Gastrointestinal Bleeding and Fungemia. Cureus 11(9): e5575. doi:10.7759/cureus.5575en_US
dc.identifier.issn2168-8184
dc.identifier.doi10.7759/cureus.5575
dc.identifier.urihttp://hdl.handle.net/10150/634756
dc.description.abstractA 55-year-old African American man with a history of abdominal aortic pseudoaneurysm repair presented to the ED with complaints of black-colored stools mixed with fresh blood and fever for three days duration. The exam was unremarkable except for abdominal bruits and pallor. CT angiogram showed perigraft fluid collection, bowel wall thickening, and loss of normal fat planes between the aorta and adjacent bowel at the level of the third portion of the duodenum. Polymicrobial infection was noted in the aortic graft and blood cultures grew Candida. The patient underwent urgent removal of the infected graft, duodenal repair along with appropriate antimicrobial therapy. He did well postoperatively and was discharged in a stable condition. Our case highlights the importance of maintaining a high index of suspicion of aortoenteric fistula (AEF) when a patient with a prior abdominal aortic graft develops gastrointestinal (GI) bleeding as this condition is universally fatal if unrecognized.en_US
dc.language.isoenen_US
dc.publisherCUREUS INCen_US
dc.rights© Copyright 2019 Vegunta et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_US
dc.rights.urihttps://creativecommons.org/licenses/by/3.0/
dc.subjectaortoenteric fistulaen_US
dc.subjectgi bleeden_US
dc.subjectcandidaen_US
dc.subjectfungemiaen_US
dc.subjectrevascularisationen_US
dc.subjectaortic graften_US
dc.subjectpolymicrobialen_US
dc.subjectsepsisen_US
dc.titleSecondary Aortoduodenal Fistula Presenting as Gastrointestinal Bleeding and Fungemiaen_US
dc.typeArticleen_US
dc.contributor.departmentUniv Arizona, Internal Meden_US
dc.identifier.journalCUREUSen_US
dc.description.noteOpen access journalen_US
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.en_US
dc.eprint.versionFinal published versionen_US
refterms.dateFOA2019-10-11T20:06:55Z


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© Copyright 2019 Vegunta et al. This is an open access article distributed under the terms of the Creative Commons Attribution
License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Except where otherwise noted, this item's license is described as © Copyright 2019 Vegunta et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.