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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Sociedade Brasileira de Cirurgia Cardiovascular
2016
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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 |
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Beuran,Mircea Negoi,Ionut Negoi,Ruxandra Irina Hostiuc,Sorin Paun,Sorin |
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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 |
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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. |
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Sociedade Brasileira de Cirurgia Cardiovascular |
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2016 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000300261 |
work_keys_str_mv |
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