Double primary aortoenteric fistula.

Aortoenteric fistulae are rare but potentially catastrophic entities that can affect either a diseased or reconstructed abdominal aorta and therefore they are classified as pr imary or secondary fistulae. The subtleties of its presentation, lack of specific diagnostic tests, delay in therapy and lack of consensus on the optimal operative t reatment have contributed to the high morbidi ty and mortal i ty rates of this entity. We present a case of two simultaneous pr imary aortoenteric fistulae into both d u o d e n u m and jejunum in one patient and describe our management .