Diagnostic and Management Difficulty of Bleeding Aorto-Duodenal Fistula Associated with Hodgkin’s Lymphoma

Diagnostic and Management Difficulty of Bleeding Aorto-Duodenal Fistula Associated with Hodgkin’s Lymphoma

Primary aorto-enteric fistula (AEF) resulting from abdominal malignancy is a rare and often fatal complication. The few reports to date are mostly secondary to solid tumors. We present a case of a patient with refractory Hodgkin’s lymphoma who developed life-threatening AEF. We describe the diagnost...

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Bibliographic Details
Main Authors: Boaz Nachmias, Allan I. Bloom, Alexander Gural
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Diagnostics
Subjects:
Hodgkin’s lymphoma
aortic-duodenal fistula
massive bleeding protocol
Online Access:https://www.mdpi.com/2075-4418/11/3/389
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spelling doaj-df41ee329ffc42ccb7e0a8ba7037b7c52021-02-26T00:03:39ZengMDPI AGDiagnostics2075-44182021-02-011138938910.3390/diagnostics11030389Diagnostic and Management Difficulty of Bleeding Aorto-Duodenal Fistula Associated with Hodgkin’s LymphomaBoaz Nachmias0Allan I. Bloom1Alexander Gural2Hematology Department, Hadassah Medical Center, Jerusalem 911200, IsraelDepartment of Medical Imaging-Interventional Radiology, Hadassah Medical Center, Jerusalem 911200, IsraelHematology Department, Hadassah Medical Center, Jerusalem 911200, IsraelPrimary aorto-enteric fistula (AEF) resulting from abdominal malignancy is a rare and often fatal complication. The few reports to date are mostly secondary to solid tumors. We present a case of a patient with refractory Hodgkin’s lymphoma who developed life-threatening AEF. We describe the diagnostic and therapeutic efforts, requiring a multi-disciplinary team of interventional radiology, gastroenterology, and transfusion medicine, resulting in a favorable outcome. Importantly, we offer several insights regarding the identification and management of high-risk patients, with an emphasis on pre-treatment considerations and urgent diagnosis and intervention.https://www.mdpi.com/2075-4418/11/3/389Hodgkin’s lymphomaaortic-duodenal fistulamassive bleeding protocol
collection DOAJ
language English
format Article
sources DOAJ
author Boaz Nachmias
Allan I. Bloom
Alexander Gural
spellingShingle Boaz Nachmias
Allan I. Bloom
Alexander Gural
Diagnostic and Management Difficulty of Bleeding Aorto-Duodenal Fistula Associated with Hodgkin’s Lymphoma
Diagnostics
Hodgkin’s lymphoma
aortic-duodenal fistula
massive bleeding protocol
author_facet Boaz Nachmias
Allan I. Bloom
Alexander Gural
author_sort Boaz Nachmias
title Diagnostic and Management Difficulty of Bleeding Aorto-Duodenal Fistula Associated with Hodgkin’s Lymphoma
title_short Diagnostic and Management Difficulty of Bleeding Aorto-Duodenal Fistula Associated with Hodgkin’s Lymphoma
title_full Diagnostic and Management Difficulty of Bleeding Aorto-Duodenal Fistula Associated with Hodgkin’s Lymphoma
title_fullStr Diagnostic and Management Difficulty of Bleeding Aorto-Duodenal Fistula Associated with Hodgkin’s Lymphoma
title_full_unstemmed Diagnostic and Management Difficulty of Bleeding Aorto-Duodenal Fistula Associated with Hodgkin’s Lymphoma
title_sort diagnostic and management difficulty of bleeding aorto-duodenal fistula associated with hodgkin’s lymphoma
publisher MDPI AG
series Diagnostics
issn 2075-4418
publishDate 2021-02-01
description Primary aorto-enteric fistula (AEF) resulting from abdominal malignancy is a rare and often fatal complication. The few reports to date are mostly secondary to solid tumors. We present a case of a patient with refractory Hodgkin’s lymphoma who developed life-threatening AEF. We describe the diagnostic and therapeutic efforts, requiring a multi-disciplinary team of interventional radiology, gastroenterology, and transfusion medicine, resulting in a favorable outcome. Importantly, we offer several insights regarding the identification and management of high-risk patients, with an emphasis on pre-treatment considerations and urgent diagnosis and intervention.
topic Hodgkin’s lymphoma
aortic-duodenal fistula
massive bleeding protocol
url https://www.mdpi.com/2075-4418/11/3/389
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AT allanibloom diagnosticandmanagementdifficultyofbleedingaortoduodenalfistulaassociatedwithhodgkinslymphoma
AT alexandergural diagnosticandmanagementdifficultyofbleedingaortoduodenalfistulaassociatedwithhodgkinslymphoma
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