Secondary aortoduodenal fistula with the presentation of gastrointestinal bleeding: a case report

Secondary Aorto-enteric fistula (SAEF) is a communication between the aorta and the intestines which occurs in a setting prior aortic surgery such as abdominal aortic aneurism (AAA) repairing. Gastrointestinal bleeding and abdominal pain have been described in the majority of cases. SAEF is a rare and life-threatening complication so a high degree of clinical suspicion is necessary for diagnosis.