INTRODUCTION
Secondary aortoenteric fistula (SAEF) is a rare but well-known complication after aortic aneurysm repair, which was first described in 1998 by Norgren.1 The diagnosis remains a challenge, as the suggested diagnostic procedure is the abdominal contrast CTA, which provides vague and non-specific findings. This article presents a case report and a literature review of a SAEF rupture and concludes the main points of diagnosis and treatment of this uncommon clinical entity.