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 Researcher Name (Arabic) Researcher Name (English) Researcher Type Dr Grade Email حسن الزهراني Al-Zahrani, Hasan Researcher Doctorate   Files File Name Type Description  20317.pdf pdf   Back To Researches Page