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Gastrointestinal Hemorrhage Secondary to Rupture of AortaA Review of Four Duodenal and Three Esophageal Cases
MATTHEW J. FERGUSON, MD;
MICHAEL J. ARDEN, MD
Arch Intern Med. 1966;117(1):133-140.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Rupture.UPTURE of the aorta into the gastro-intestinal tract is a rare occurrence and has a grave prognosis. Until recently, accurate diagnosis was of little consequence since specific surgical techniques were not widely available. However, the surgeons are now able to handle this emergency and successful operative management is being reported.1-5 The challenge is now for the clinician to increase his diagnostic accuracy. Several recent reports indicate this is possible.6,7 But unfortunately, the diagnosis of aortico-intestinal fistula remains exceedingly difficult, even when it is considered in the differential of gastrointestinal hemorrhage. Scrutiny of the reports on successfully managed cases reveals that some of them were unexpectedly discovered only at the time of laparotomy. Therefore, preoperative diagnosis is even less frequent than it is suggested.
This paper reviews the case histories of four patients with aorticoduodenal rupture and three patients with aorticoesophageal rupture. It was hoped that this review would
. . . [Full Text PDF of this Article]
Author Affiliations
NEW YORK
From the departments of medicine, St. Vincent's Hospital and Medical Center of New York, and the New York University College of Medicine.
Footnotes
Submitted for publication June 15, 1965; accepted Sept 20.
Reprint requests to 121 W 11th St, New York, NY 10011 (Dr. Ferguson).
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