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Enteric duplication with fistulation into the aorta

Departments of Diagnostic Radiology and Paediatrics, Northampton General Hospital

This excerpt was created in the absence of an abstract.

Ulceration and fistulation are recognized complications of enteric duplication (Bockus, 1963). Bleeding may be a prominent feature (Tabrinsky et al., 1973). We would like to report a case in which a fistulous connexion between a duplication and the aorta was encountered and in which arteriography proved hazardous.

The patient, an eight-year-old boy, originally presented shortly after birth with a mass in the left upper quadrant of the abdomen. Laparotomy 18 months later revealed a large retro-gastric cyst, which was anastomosed to the posterior wall of the stomach. A heart murmur was discovered at this time and later a diagnosis of aortic stenosis was made. At about this time he was found to have iron deficiency anaemia. Occult blood was present in the faeces, and oral iron was given at intervals, with a good response. His spleen was enlarged.

Received for publication May 1, 1976.