Obscure upper GIT haemorrhage: Primary renal artery aneurysm with duodenal and inferior venocaval fistulae

  • Brooke Puttergill University of the Witwatersrand http://orcid.org/0000-0002-1759-1033
  • I Bombil University of the Witwatersrand
  • S Pather University of the Witwatersrand
Keywords: renal artery aneurysm, obscure UGIT haemorrhage, HIV vasculopathy, visceral artery aneurysms

Abstract

We present a case of primary renal artery aneurysm presenting as obscure overt upper gastrointestinal bleeding due to an arterioenteric and arteriovenous fistula in a HIV patient not on HAART. Despite the low incidence of visceral artery aneurysms, complications and clinical presentations demand rapid intervention to avoid high reported mortality rates. We highlight the diagnostic and treatment dilemmas of this fatal complication in an immunocompromised patient.

Author Biographies

Brooke Puttergill, University of the Witwatersrand
Department of General Surgery
Faculty of Health Sciences
University of the Witwatersrand
I Bombil, University of the Witwatersrand
Department of General Surgery
Faculty of Health Sciences
University of the Witwatersrand
S Pather, University of the Witwatersrand
Department of Anatomical Pathology
Faculty of Health Sciences
University of the Witwatersrand
Published
2018-09-19
How to Cite
Puttergill, B., Bombil, I., & Pather, S. (2018). Obscure upper GIT haemorrhage: Primary renal artery aneurysm with duodenal and inferior venocaval fistulae. South African Journal of Surgery, 56(3), 65. Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/2379
Issue
Vol 56 No 3 (2018)
Section
Case Reports

The South African Journal of Surgery (SAJS) reserves copyright of the material published. The work is licensed under a Creative Commons Attribution-Noncommercial Works 4.0 South Africa License. Material submitted for publication in the SAJS is accepted provided it has not been published elsewhere. The SAJS does not hold itself responsible for statements made by the authors.