Superior Mesenteric Artery-Duodenal Fistula Secondary to a Gunshot Wound
Arterioenteric fistulas are a rare cause of massive gastrointestinal hemorrhage. We present a patient who developed a fistula between a middle colic artery pseudoaneurysm, a proximal branch of the superior mesenteric artery (SMA), and the third part of the duodenum 2 weeks after a self-inflicted gunshot wound to the abdomen. The patient's presentation, evaluation, treatment, and prognosis are discussed. All prior published cases of SMA-duodenal fistulas are reviewed.
Cory M. Fielding, Wesam Frandah, Steven Krohmer & Deborah Flomenhoft (2016) Superior Mesenteric Artery-Duodenal Fistula Secondary to a Gunshot Wound, Baylor University Medical Center Proceedings, 29:1, 30-32.