Primary Aortoduodenal Fistula: First you Should Suspect it

Primary Aortoduodenal Fistula: First you Should Suspect it

ABSTRACT 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.

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Main Authors: Beuran,Mircea, Negoi,Ionut, Negoi,Ruxandra Irina, Hostiuc,Sorin, Paun,Sorin
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Cirurgia Cardiovascular 2016
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000300261
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spelling oai:scielo:S0102-763820160003002612016-10-04Primary Aortoduodenal Fistula: First you Should Suspect itBeuran,MirceaNegoi,IonutNegoi,Ruxandra IrinaHostiuc,SorinPaun,Sorin Aorta, Abdominal Duodenum Digestive System Fistula ABSTRACT 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.info:eu-repo/semantics/openAccessSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery v.31 n.3 20162016-06-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000300261en10.5935/1678-9741.20160049
institution SCIELO
collection OJS
country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Beuran,Mircea
Negoi,Ionut
Negoi,Ruxandra Irina
Hostiuc,Sorin
Paun,Sorin
spellingShingle Beuran,Mircea
Negoi,Ionut
Negoi,Ruxandra Irina
Hostiuc,Sorin
Paun,Sorin
Primary Aortoduodenal Fistula: First you Should Suspect it
author_facet Beuran,Mircea
Negoi,Ionut
Negoi,Ruxandra Irina
Hostiuc,Sorin
Paun,Sorin
author_sort Beuran,Mircea
title Primary Aortoduodenal Fistula: First you Should Suspect it
title_short Primary Aortoduodenal Fistula: First you Should Suspect it
title_full Primary Aortoduodenal Fistula: First you Should Suspect it
title_fullStr Primary Aortoduodenal Fistula: First you Should Suspect it
title_full_unstemmed Primary Aortoduodenal Fistula: First you Should Suspect it
title_sort primary aortoduodenal fistula: first you should suspect it
description ABSTRACT 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.
publisher Sociedade Brasileira de Cirurgia Cardiovascular
publishDate 2016
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000300261
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AT negoiruxandrairina primaryaortoduodenalfistulafirstyoushouldsuspectit
AT hostiucsorin primaryaortoduodenalfistulafirstyoushouldsuspectit
AT paunsorin primaryaortoduodenalfistulafirstyoushouldsuspectit
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