Fuat İPEKCİ, İsmail SERT, Yahya CAPKİS, Emre TURGUT, Dilek KUZUKIRAN

Romatoid Artritli Hastada Primer Aortoduodenal Fistül

Primer aortoduodenal fistül (PADF), aort ve duodenum arasında anevrizma varlığında gelişir. Nadir bir durumdur, fakat yaşamı tehdit edici durumlara neden olur. Yaygın klinik sunumu gastrointestinal kanamadır. Ele gelen abdominal kitle ve abdominal ağrı diğer klinik semptomlardır. Günümüzde tanıda yaygın olarak intravenöz kontrastlı bilgisayarlı tomografi ve endoskopi kullanılmaktadır. Gastrointestinal kanamanın yaygın olmayan lokalizasyonu nedeniyle tanı koymak zor olabilir. Bu çalışmada, romatoid artritli hastada, akut mesenter iskemi ve morgagni hernisi kombinasyonunda PADF olgusu sunulmuştur.

Anahtar Kelimeler:

Aortoduodenal fistül, romatoid artrit, gastrointestinal kanama

Primary Aortoduodenal Fistula in Patients with Rheumatoid Arthritis

Primary aortoduodenal fistula (PADF) develops between the aorta and duodenum in the presence of an aortic aneurysm. Although rare, it causes life-threatening conditions. A common clinical presentation is gastrointestinal bleeding. Palpable abdominal mass and abdominal pain are other clinical symptoms. Recently, computed tomography scan with intravenous contrast and endoscopy have been commonly used for diagnosis. Despite physical examination, endoscopy, and radiological evaluation, diagnosis can be challenging due to uncommon location of gastrointestinal bleeding. Here we present a case of PADF in combination with morgagni hernia and acute mesenteric ischemia in a patient with rheumatoid arthritis.

Keywords:

Aortoduodenal fistula, rheumatoid arthritis, gastrointestinal bleeding,

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