Aorto-Enteric Fistula Causing Syncope And Gastrointestinal Bleeding.

Aorto-enteric fistula (AEF) is an uncommon and emergency clinical condition of intra-abdominal bleeding. Early diagnosis can be achieved by computer tomography and endoscopy exploration. Surgical reconstruction is urgent and a multidisciplinary treatment is recommended after the surgical intervention. A 76-year-old man, with abdominal aortic aneurysm reconstruction history presented to the emergency department with syncope and suspected upper gastrointestinal bleeding, which began approximately 30 minutes before. In hospital the patient worsened, developing cardiac arrest due to massive gastrointestinal bleeding. The advanced cardiopulmonary resuscitation was initiated and with suspected active aorto-enteric communication, an urgent laparoscopy was immediately performed.