Health and the environment. Waste disposal: fresh looks at a rotting problem.

Aortoentericfistula The possibility of an aortoenteric fistula must be considered in any patient with an aortic graft who presents with a gastrointestinal haemorrhage. A warning bleed usually occurs before a catastrophic haemorrhage. Emergency admission to hospital is required and -in the absence of any obvious cause -exploratory laparotomy should be planned with the expectation of having to remove the graft and restore the blood supply with bilateral axillofemoral grafts.