Tuberculous Aortitis with an Aortoduodenal Fistula Presenting as Recurrent Gastrointestinal Bleeding

Tuberculous aortitis with a tuberculous mycotic aneurysm and an aortoduodenal fistula was diagnosed in a 38-year-old man with tuberculous cervical lymphadentitis and a 3-month history of recurrent gastrointestinal bleeding, in whom extensive investigation of the digestive tract had not revealed a bl...

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Bibliographic Details
Published in:Clinical infectious diseases 2000-09, Vol.31 (3), p.841-842
Main Authors: de Kruijf, E. J. F. M., van Rijn, A. B. B., Koelma, I. A., Kuijpers, T. J. A., van 't Wout, J. W.
Format: Article
Language:English
Subjects:
Abdominal aorta
Adult
Aneurysms
Aorta
Aortic aneurysm
Aortitis
Aortitis - complications
Aortitis - pathology
Bacterial diseases
Biological and medical sciences
Bleeding
Brief Reports
Duodenum
Fistulas
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - pathology
Human bacterial diseases
Humans
Infections
Infectious diseases
Intestinal Fistula - complications
Intestinal Fistula - pathology
Male
Medical sciences
Patient assessment
Recurrence
Tuberculosis and atypical mycobacterial infections
Tuberculosis, Cardiovascular - complications
Tuberculosis, Cardiovascular - pathology
Vascular Fistula - complications
Vascular Fistula - pathology
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Summary:Tuberculous aortitis with a tuberculous mycotic aneurysm and an aortoduodenal fistula was diagnosed in a 38-year-old man with tuberculous cervical lymphadentitis and a 3-month history of recurrent gastrointestinal bleeding, in whom extensive investigation of the digestive tract had not revealed a bleeding lesion. Either by septic embolism or by direct extension from a neighboring focus, tuberculous infection can cause a mycotic aortic aneurysm with subsequent fistulation to the duodenum.
ISSN:1058-4838
1537-6591
DOI:10.1086/314045