Aorto-enteric Fistula

Risk Factors

  • Hx AAA graft
  • Hx AAA

Symptoms

  • Profound bleeding
  • Hematemesis, melena; may even have BRBPR
  • May have epigastric pain
  • Severe illness if active bleeding; may begin as oozing and/or start/stop spontaneously

Physical Exam Findings

  • Ill w/tachycardia, hypotension and evidence hypo-perfusion if bleeding ongoing
  • May begin as oozing and/or start/stop spontaneously
  • Sometimes pain or palpable mass in epigastric area