Primary aortoduodenal fistula due to a swallowed sewing needle: a rare cause of gastrointestinal bleeding Dikifl inesi yutulmas› sonucu oluflmufl primer aortoduodenal fistüle bal› nadir görülen bir masif üst gastrointestinal sistem kanamas›

2007 
Aprimary 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 reporta case ofa 17 year-old girl who underwent surgical treatment because of severe upper gastrointestinal bleedingwhich was related to an aortoduodenal fistula caused byas w a l l o w e d sewing needle.At operation, a chronic aortoduodenal fistula that contained the sewing needle was found and repaired. T h i s is the fourth case in the literature in which a needle was found to be associated with the development of an aortoenteric fistula.
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