Document Details
|
Document Type |
: |
Article In Journal |
|
Document Title |
: |
Aortoduodenal Fistula: Secondary to Spinal Tuberculosis Aortoduodenal Fistula: Secondary to Spinal Tuberculosis |
|
Subject |
: |
Vascular Surgery |
|
Document Language |
: |
English |
|
Abstract |
: |
read with interest the short communication by Dr A. AI Shahri
(Saudi Med J 1993; 2: 168) reporting spinal tuberculosis as a
rare aetiology of aortoduodenal fistula. The author indicated
rightly that his case is the first reported in the English literature.
Though I enjoyed reading this case report, perhaps it is difficult
to be convinced about the diagnosis, which was mainly basedaccording
to the report-on the gross intra-operative findings.
Usually, the initial presentation of aortoenteric fistula is that
of intermittent 'herald' bleeding with self-limiting episodes of
melena or haematemesis. These will recur over a period of days
or hours prior to the final exsanguinating haemorrhage.' Such
a case will be documented in a scientific way if an arteriogram,
CT or even upper gastrointestinal endoscopy were done in the
absence of the postmortem examination and/or tissue
diagnosis.
I understand that time did not allow the performance of these
investigations, nevertheless, it may not be easy to accept the
strong recommendation of immediate laparotomy in such a
case. |
|
ISSN |
: |
0379-5284 |
|
Journal Name |
: |
The Saudi Medical Journal |
|
Volume |
: |
15 |
|
Issue Number |
: |
4 |
|
Publishing Year |
: |
1414 AH
1994 AD |
|
Article Type |
: |
Comment |
|
Added Date |
: |
Monday, August 24, 2009 |
|
Researchers
| حسن الزهراني | Al-Zahrani, Hasan | Researcher | Doctorate | |
|
Back To Researches Page
|