Primary aorto-jejunal fistula is a rare complication of abdominal aortic an eurysm. This article describes the tenth reported case. Etiology and diagnosis are discussed. A high index of suspicion, abdominal sonogram, or preferably CAT scan of the abdomen are the most useful aides in diagnosis. Surgery in cludes resection of the aneurysm, aortic grafting, and closure of the fistula. Surgical mortality is in excess of 50%, but there are no reported survivals fol lowing non-surgical management.
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