This is a 51-year-old patient with a diagnosis of hypertension of more than 10 years duration and a history of type B aortic dissection surgery, classified as teflon type Aortic dissection, with four years of consultation.
One week prior to admission to the Intensive Care Unit, she presented two episodes of melena and lipothymia.
The patient was admitted with septic shock and melena and hypovolemic shock.
A new episode of massive emphysema leads to a cardiorespiratory arrest and, after adequate resuscitation, surgical intervention was decided, with the surgical finding of AEF at the level of the third duodenal portion x 1.5 cm.
Simple closure, gastrojejunostomy and anastomosis performed.
She died in the immediate postoperative period.
