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Correspondence
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Volume 329:578-579 August 19, 1993 Number 8
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Aortoenteric Fistula

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 by Zachary, P. E.
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To the Editor: The photograph of the aortoenteric fistula detected by endoscopy, shown in Images in Clinical Medicine (April 22 issue1), is dramatic. The accompanying computed tomographic scan is interesting and confirms the diagnosis, but I am surprised to see it.

This endoscopic finding in a patient known to have an aortic graft would have prompted me to rush the patient to emergency surgery before the aneurysm ruptured. The potential for rupture is so great in these cases that any delay may be fatal.


Herbert Rakatansky, M.D.
Brown University
Providence, RI 02912

References

  1. Zachary PE Jr, Campbell DR. Aortoenteric fistula. N Engl J Med 1993;328:1166-1166. [Free Full Text]

 
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