Question 142 · LEK · Abdominal aortic aneurysm
A 65-year-old patient 10 years after aorto-aortic prosthesis because of ruptured aortic aneurysm. For the last 3 months periodical fever. Today admitted to the ER with the symptoms of heavy upper gastrointestinal bleeding. On CT features of inflammatory infiltration around the prosthesis with gas vesicles. You should first suspect in this patient:
- A. trapped gas syndrome after aortic aneurysm surgery.
- B. necrotic haemorrhagic pancreatitis.
- C. bleeding from an aorto-duodenal fistula.
- D. forming of perianastomotic aneurysm.
- E. oesophageal perforation. 49 z 117 29.06.2026, 14:15 Centrum Egzaminów Medycznych https://test.cem.edu.pl/pytcem/wyswietl_baza_pdf.php
Hint
Fever, gas around a graft and massive upper GI bleeding years after aortic surgery suggest an abnormal communication between the graft and the bowel.
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