Abstract
A 75-year-old man was admitted with a complaint of melena 14 months after aortic graft insertion. Upper GI endoscopy showed an ulcer with surrounding elevation at the 3rd portion of the duodenum and clipping was performed at the oral side of the ulcer. The clip was demonstrated to be in contact with the anterior wall of the graft by abdominal CT and aortogram performed after endoscopic clipping. A final diagnosis of secondary aortoduodenal fistula was established from these examinations, and an operation with procedure of bilateral axillofemoral bypass was performed. This case was the 5th reported case of aortoduodenal fistula diagnosed by endoscopic examination in Japan.
