Abstract
In this case, a 74-year-old man who had undergone total gastrectomy 3 years previously was referred to us because of massive melena. According to computed tomography, we suspected an aortoenteric fistula and performed emergency laparotomy. During surgery we confirmed an aortoenteric fistula between an abdominal aortic aneurysm and his duodenum. We performed an en-bloc resection of the duodenum and abdominal aortic aneurysm wall, and then proceeded with aortic replacement. The patient recovered uneventfully and was discharged.
