Goda K, Kawaguchi M, Shiotani A (2019) A Case of Secondary Aortoduodenal Fistula Diagnosed by Esophagogastroduodenoscopy. Clin Med Rev Case Rep 6:250.


© 2019 Goda K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESS DOI: 10.23937/2378-3656/1410250

A Case of Secondary Aortoduodenal Fistula Diagnosed by Esophagogastroduodenoscopy

Kyosuke Goda1*, Masanori Kawaguchi2 and Akiko Shiotani1

1Division of Gastroenterology, Department of Internal Medicine, Kawasaki Medical School, Okayama, Japan

2Department of Gastroenterology, Saiseikai Wakayama Hospital, Japan


A 64-year-old man underwent vascular graft surgery for an abdominal aortic aneurysm one year previously. Using esophagogastroduodenoscopy (EGD), he was definitively diagnosed as having an aortoenteric fistula (AEF) and underwent an urgent surgical procedure for treatment. Generally, the prognosis in cases of AEF after vascular graft operation remains poor, and the survival rate in cases of AEF that require surgery is low. We report this case of AEF because EGD played a significant role in its early detection and definitive diagnosis, which resulted in the patient’s survival. EGD is not a common procedure for patients with severe symptoms. Therefore, it is necessary to accumulate and analyze data on more cases concerning the criteria for adoption of EGD, which will allow for a more accurate and timely AEF diagnosis in the future.