Pseudo-aneurysm of Distal Aortic Stump – A Manifestation of Aortoenteric Fistula

Background: Secondary aortoenteric fistula (AEF) is rare but devastating complication of abdominal aortic reconstruction surgery for aneurysm. Most patients presented with acute upper gastrointestinal bleeding. CTA abdomen usually performed to attain the diagnosis. However, AEF has invariable appearances on CT where mostly are non-specific and similar perigraft infection (PGI). A case secondary following multiple series surgery, manifestation recurrent pseudo-aneurysm stump, presented. Case Presentation: 65 years old man who had undergone reconstructive infra-renal aneurysm acutely hematemesis per rectal Initial revealed pseudoaneurysm distal which was successfully embolized coils. symptoms recurred repeated showed new no typical findings AEF. Emergency laparotomy confirmed at duodenojejunal junction that repaired primary closure. Unfortunately, patient died 3 days later due post-operative complications. Conclusion: Presence background should raise suspicion AEF, especially in history intervention gastro-intestinal invaluable providing diagnosis despite its variable manifestations.