A Case of Duodenal Obstruction by an Abdominal Aortic Aneurysm

A 81-year-old man with 2 days of nausea, vomiting, and mild abdominal pain and a medical history of an abdominal aortic aneurysm (AAA) diagnosed 5 years earlier was admitted as an emergency patient because of these symptoms. Computed tomography showed duodenal compression and a markedly dilated stom...

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Bibliographic Details
Published inNippon Shokaki Geka Gakkai zasshi Vol. 40; no. 9; pp. 1587 - 1592
Main Authors Miyauchi, Masayuki, Satou, Toshimitu, Mori, Toshihiro, Miura, Shinnichi, Hachisuka, Takehiro, Shinohara, Masahiko, Kuno, Yasushi, Yamamoto, Takayuki
Format Journal Article
LanguageJapanese
Published The Japanese Society of Gastroenterological Surgery 2007
Subjects
abdominal aortic aneurysm
duodenal obstruction
graft replacement
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ISSN0386-9768
1348-9372
DOI10.5833/jjgs.40.1587

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Summary:A 81-year-old man with 2 days of nausea, vomiting, and mild abdominal pain and a medical history of an abdominal aortic aneurysm (AAA) diagnosed 5 years earlier was admitted as an emergency patient because of these symptoms. Computed tomography showed duodenal compression and a markedly dilated stomach and oral duodenum with an intact 7.5cm infrarenal AAA. The patient was diagnosed with a duodenal obstruction caused by the aneurysm. Elective graft replacement of the aneurysm was conducted successfully after gastric decompression. He made an uneventful recovery and remains well in follow-up. AAA is a rare cause of duodenal obstruction. We report the unique cause of duodenal obstruction secondary to expansion of an infrarenal AAA.
ISSN:0386-9768
1348-9372
DOI:10.5833/jjgs.40.1587