{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T17:18:45Z","timestamp":1792516725491,"version":"4.5.0"},"reference-count":15,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,2,10]]},"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>A man in his 60s attended emergency for acute-onset abdominal pain and haematemesis. Requiring resuscitation, a CT abdomen\/pelvis revealed a primary aortoenteric fistula actively bleeding into the duodenum. His background included a previous severe Q-fever infection and a heavy smoking history. Despite attempts at resuscitation and an emergent surgical attempt at haemostasis, the patient did not survive the massive gastrointestinal haemorrhage.<\/jats:p>\n               <jats:p>Even in less severe cases, management of aortoenteric fistulas is tricky. Blood cultures and angiographic imaging are important investigations in guiding surgical approach. The pathology tends to have a significant rate of mortality even at tertiary-level vascular surgical centres.<\/jats:p>","DOI":"10.1136\/bcr-2023-258320","type":"journal-article","created":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T22:40:19Z","timestamp":1708468819000},"page":"e258320","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Massive gastrointestinal bleed due to a primary aortoenteric fistula"],"prefix":"10.1136","volume":"17","author":[{"given":"Benjamin","family":"Stanley","sequence":"first","affiliation":[{"name":"Logan Hospital, Logan, Queensland, Australia"},{"name":"Griffith University School of Medicine and Dentistry, Gold Coast, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivien","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Logan Hospital, Logan, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Goutham","family":"Sivasuthan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Logan Hospital, Logan, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Burstow","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Logan Hospital, Logan, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,2,20]]},"reference":[{"key":"2025082700323002000_17.2.e258320.1","unstructured":"Dorosh J , Lin JC . 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