Primary Aortoduodenal Fistula: First you Should Suspect it

A 59 year-old patient was admitted with upper gastrointestinal bleeding. The clinical exam showed mild hypotension and blood samples revealed acute anemia (hemoglobin = 7.5 g/dl). Emergency computed tomography showed an infrarenal abdominal aortic aneurysm and extravasation of the arterial contrast...

Full description

Saved in:
Bibliographic Details
Published inRevista brasileira de cirurgia cardiovascular Vol. 31; no. 3; pp. 261 - 263
Main Authors Beuran, Mircea, Negoi, Ionut, Negoi, Ruxandra Irina, Hostiuc, Sorin, Paun, Sorin
Format Journal Article
LanguageEnglish
Portuguese
Published Brazil Sociedade Brasileira de Cirurgia Cardiovascular 01.01.2016
Subjects
Online AccessGet full text

Cover

Loading…
More Information
Summary:A 59 year-old patient was admitted with upper gastrointestinal bleeding. The clinical exam showed mild hypotension and blood samples revealed acute anemia (hemoglobin = 7.5 g/dl). Emergency computed tomography showed an infrarenal abdominal aortic aneurysm and extravasation of the arterial contrast material toward the digestive tract. The patient was transported to the operating room for emergency laparotomy, which showed an aortoduodenal fistula. After proximal and distal aortic vascular control, the two anatomical structures were dissected with duodenorrhaphy, patch repair of the aortic tear and omentum interposition. The postoperative recovery was uneventful, with discharge after 12 days.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0102-7638
1678-9741
1678-9741
DOI:10.5935/1678-9741.20160049