Publication
Fever and haematochezia: an unusual association
| dc.contributor.author | Antunes, Artur Gião | |
| dc.contributor.author | Peixe, Bruno | |
| dc.contributor.author | Guerreiro, Horacio | |
| dc.date.accessioned | 2017-04-07T15:56:19Z | |
| dc.date.available | 2017-04-07T15:56:19Z | |
| dc.date.issued | 2016-08 | |
| dc.description.abstract | A 72-year-old male patient presented to the emergency room for haematocheziafollowed bysyncope. In the past 2 days he had fever and asthenia. From his medical records, we registered a peripheral vascular disease, with an aortobifemoral bypass graft placed 12 years prior; 6 years later, the graft had a thrombosis event and the patient was submitted to an axillofemoral bypass graft. On physical examination, he had haemodynamic instability and fever (38°C); the abdominal examination showed no abnormalities. Laboratory tests were as follows: haemoglobin: 10.7 g/L, white cell count: 17.7×109/ L; international normalized ratio (INR): 6.26; C reactive protein: 202 mg/L; blood urea nitrogen (BUN): 44 U/L; and creatinine: 1.91 mg/dL. After haemodynamic resuscitation, given the clinical presentation and the hypothesis of secondary aortoenteric fistula (AEF), a CT angiography was performed (figure 1). Although no active bleeding was detected, the aortobifemoral bypass graft was found to be adjacent to the third part of duodenum, but at a level at which the lumen of the aorta was partially thrombosed. Also, an effacement of the fat plane between the graft and the adjacent portion of the duodenum was noticed. | |
| dc.identifier.doi | 10.1136/bcr-2016-216655 | |
| dc.identifier.issn | 1757-790X | |
| dc.identifier.uri | http://hdl.handle.net/10400.1/9382 | |
| dc.language.iso | eng | |
| dc.peerreviewed | yes | |
| dc.publisher | BMJ Publishing Group: | |
| dc.relation.isbasedon | MEDLINE:27481263 | |
| dc.title | Fever and haematochezia: an unusual association | |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.title | BMJ case reports | |
| oaire.citation.volume | 2016 | |
| person.familyName | Guerreiro | |
| person.givenName | Horacio | |
| person.identifier.orcid | 0000-0002-1387-5813 | |
| person.identifier.scopus-author-id | 57188667152 | |
| rcaap.rights | restrictedAccess | |
| rcaap.type | article | |
| relation.isAuthorOfPublication | 76efcc1f-bb58-4a5b-b4f5-9f206622df4f | |
| relation.isAuthorOfPublication.latestForDiscovery | 76efcc1f-bb58-4a5b-b4f5-9f206622df4f |
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