Endoskopie, 2010; 19(3-4): 125-128

Recurrent gastrointestinal bleeding from arterio-intestinal fistula

MUDr.Martin Hanousek¹, MUDr.Vladimíra Štefková⁴, MUDr.Petr Fojtík¹, MUDr.Martin Kliment¹, MUDr.Přemysl Falt¹, MUDr.Ondřej Urban, Ph.D.¹, doc.MUDr.Čestmír Neoral, CSc.², doc.MUDr.Roman Havlík, Ph.D.², MUDr.Jaroslav Krátký³

¹ Centrum péče o zažívací trakt, Vítkovická nemocnice a. s., Ostrava

² I. chirurgická klinika Fakultní nemocnice Olomouc

³ Radiologické oddělení, Vítkovická nemocnice a. s., Ostrava

⁴ Soukromá gastroenterologická ambulance, Nový Jičín

HAA is a rare disease. Its rupture is a very serious complication with high mortality. Up to 46 % of symptomatic patients present with

gastrointestinal bleeding from arterio-intestinal fistula. The diagnosis of HAA is possible with the help of abdominal ultrasound, computerized

tomography (CT), angiography, magnetic resonance imaging (MRI) or rarely endoscopic ultrasonography (EUS) and esophagogastroduodenoscopy.

A case report with short video of the case of successfully treated 38-years old man with recurrent duodenal

bleeding is presented here. We believe, EUS had a major role in the preoperative diagnosis. Nevertheless, to successfully manage the

patient, interdisciplinary approach proved necessary.

tract.

Keywords: gastroscopy, endosonography, angiography, CT angiography, hepatic arterial aneurysm, bleeding from the gastrointestinal

Published: November 24, 2010  Show citation