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J. Clin. Gastroenterol. · Dec 1987
Review Case ReportsAortogastric fistula from hiatal hernia ulcer. A cause of massive upper gastrointestinal bleeding.
- M A Kielhofner, G Schnell, T T Schubert, and D Kebede-Daniels.
- Blue V Unit, University of Missouri-Kansas City School of Medicine 64108.
- J. Clin. Gastroenterol. 1987 Dec 1; 9 (6): 697-700.
AbstractAn 83-year-old woman with no history of vascular surgery presented with a fatal upper gastrointestinal bleed from an aortogastric fistula secondary to a penetrating gastric ulcer. The fistula was between the thoracic aorta and the gastric ulcer in a hiatus hernia. On autopsy, a discrete 1-cm ulcer had perforated into the otherwise normal thoracic aorta. Aortogastric fistula involving the thoracic aorta and a gastric ulcer is rare in the absence of vascular graft surgery or aneurysm. We review the pertinent literature.
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