It is said that the first clinical description of Aortoenteric fistula (AEF) given by Sir Astley Cooper in 1829, remained same for almost two centuries - and has not changed.
"A man with a pulsating tumor seized with discharge of blood by stool and who died suddenly about 12 hours later. At autopsy, the jejunum had adhered to the aneurysmal bag and that sac had ulcerated into the intestine."
Reference:
Cooper A. Lectures on the Principles and Practice of Surgery, London 1829.
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