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...

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Autores principales: Beuran, Mircea, Negoi, Ionut, Negoi, Ruxandra Irina, Hostiuc, Sorin, Paun, Sorin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2016
Materias:
How to Do It
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5062716/
https://www.ncbi.nlm.nih.gov/pubmed/27737411
http://dx.doi.org/10.5935/1678-9741.20160049
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author Beuran, Mircea
Negoi, Ionut
Negoi, Ruxandra Irina
Hostiuc, Sorin
Paun, Sorin
author_facet Beuran, Mircea
Negoi, Ionut
Negoi, Ruxandra Irina
Hostiuc, Sorin
Paun, Sorin
author_sort Beuran, Mircea
collection PubMed
description 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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spelling pubmed-50627162016-10-31 Primary Aortoduodenal Fistula: First you Should Suspect it Beuran, Mircea Negoi, Ionut Negoi, Ruxandra Irina Hostiuc, Sorin Paun, Sorin Braz J Cardiovasc Surg How to Do 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 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. Sociedade Brasileira de Cirurgia Cardiovascular 2016 /pmc/articles/PMC5062716/ /pubmed/27737411 http://dx.doi.org/10.5935/1678-9741.20160049 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle How to Do It
Beuran, Mircea
Negoi, Ionut
Negoi, Ruxandra Irina
Hostiuc, Sorin
Paun, Sorin
Primary Aortoduodenal Fistula: First you Should Suspect it
title 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_short Primary Aortoduodenal Fistula: First you Should Suspect it
title_sort primary aortoduodenal fistula: first you should suspect it
topic How to Do It
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5062716/
https://www.ncbi.nlm.nih.gov/pubmed/27737411
http://dx.doi.org/10.5935/1678-9741.20160049
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