Background: ERCP is feasible and safe in the pediatric population. Its utility in the evaluation of children with pain suggestive of a pancreatobiliary origin without objective findings compared with those with abnormal biochemical and/or imaging studies is not well known.
Objective: To determine the utility of ERCP in the diagnosis and management of children seen with abdominal pain.
Background: Aorto-enteric fistula is rare but can result in exsanguination without timely surgery or endovascular stent placement.
Methods: Four cases of aorto-enteric fistula were reviewed in which the presentation was unusual and diagnosis difficult.
Observations: The first patient had an aorto-sigmoid fistula in the setting of an aorto-bi-femoral graft.