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Case Reports in Gastrointestinal Medicine
Volume 2017 (2017), Article ID 9087308, 3 pages
https://doi.org/10.1155/2017/9087308
Case Report

A Rare Cause of Primary Aortoenteric Fistula: Streptococcus parasanguinis Aortitis

Department of Internal Medicine, Kansas University School of Medicine, Wichita, KS, USA

Correspondence should be addressed to Fredy Nehme; moc.liamg@yderf.emhen

Received 8 November 2016; Revised 10 January 2017; Accepted 16 January 2017; Published 31 January 2017

Academic Editor: I. Michael Leitman

Copyright © 2017 Fredy Nehme et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Primary aortoenteric fistula is a rare cause of upper gastrointestinal bleed but can lead to significant mortality if the diagnosis is delayed. Aortitis, characterized by inflammation of the aortic wall, is a rare cause of aortoenteric fistula. We present a case report of a 72-year-old male patient with infectious aortoenteric fistula secondary to Streptococcus parasanguinis, along with a review of the literature. This case demonstrates the importance of early diagnosis and aggressive surgical treatment of aortoenteric fistulae and recognizing infectious aortitis as a potential etiology.