Baser, MuratArslanturk, HasanKisli, ErolArslan, MuratOzturk, TuncerUygan, IsmailKotan, Cetin2025-05-102025-05-1020071306-696X1307-7945https://hdl.handle.net/20.500.14720/17645A primary fistula between the abdominal aorta and the duodenum is rare and usually fatal. Atherosclerosis remains the most common etiologic factor, accounting for more than two-thirds of the cases reported. Other etiologies include carcinoma, ulcers, radiation, aortitis and foreign bodies including sewing needle, cocktail stick, open safety pin and fishbone. We report a case of a 17 year-old girl who underwent surgical treatment because of severe upper gastrointestinal bleeding which was related to an aortoduodenal fistula caused by a swallowed sewing needle. At operation, a chronic aortoduodenal fistula that contained the sewing needle was found and repaired. This is the fourth case in the literature in which a needle was found to be associated with the development of an aortoenteric fistula.eninfo:eu-repo/semantics/closedAccessPrimary Aortoduodenal FistulaSwallowed Sewing NeedleGastrointestinal BleedingArticle132Q4Q31541571768296071369WOS:000256795500012