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Int J Mycobacteriol. 2019 Jan-Mar;8(1):110-112. doi: 10.4103/ijmy.ijmy_32_19.

Tubercular aortitis presenting as primary aortoenteric fistula: Report of an uncommon case.

Author information

1
Department of General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
2
Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
3
Department of Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
4
Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Abstract

Tubercular aortitis presenting as primary aortoenteric fistula (AEF) is a rare entity. We present a 78-year-old male who presented with upper gastrointestinal bleed and also had abdominal pain and pulsating abdominal mass and on evaluation was found to have tubercular AEF which was successfully repaired with surgery and the patient recovered with antitubercular therapy along with the surgery. This case highlights the importance of high index of suspicion with early institution of surgical repair along with antitubercular therapy for tubercular AEF with good results.

KEYWORDS:

Fistula; surgical repair; tubercular; upper gastrointestinal bleed

PMID:
30860191
DOI:
10.4103/ijmy.ijmy_32_19
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