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Secondary aorto-duodenal fistula successfully treated with a novel surgical method: A case report
INTRODUCTION: Secondary aorto-duodenal fistula (sADF) is a complication of abdominal aorta artificial blood vessel replacement that often leads to death. However, an optimal operative method has not yet been established. We describe a patient who underwent artificial blood vessel reimplantation and...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276383/ https://www.ncbi.nlm.nih.gov/pubmed/32506022 http://dx.doi.org/10.1016/j.ijscr.2020.05.041 |
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author | Tsuneki, Takao Yuasa, Yasuhiro Fukuta, Mizuki Maki, Hidenori Matsuo, Yuta Mori, Osamu Eto, Shohei Fujiwara, Satoshi Tomibayashi, Atsusi Otani, Takashi |
author_facet | Tsuneki, Takao Yuasa, Yasuhiro Fukuta, Mizuki Maki, Hidenori Matsuo, Yuta Mori, Osamu Eto, Shohei Fujiwara, Satoshi Tomibayashi, Atsusi Otani, Takashi |
author_sort | Tsuneki, Takao |
collection | PubMed |
description | INTRODUCTION: Secondary aorto-duodenal fistula (sADF) is a complication of abdominal aorta artificial blood vessel replacement that often leads to death. However, an optimal operative method has not yet been established. We describe a patient who underwent artificial blood vessel reimplantation and duodenectomy after endovascular aneurysmal repair (EVAR) with positive outcomes. PRESENTATION OF CASE: An 84-year-old man underwent artificial blood vessel replacement in 2015. In September 2016, he visited our emergency department and was diagnosed with sADF based on computed tomography. Urgent EVAR was performed, followed by duodenal segmental resection on the next day without opening the syringeal part to minimize the pollution of the operative field. Artificial blood vessel reimplantation and omental flap transposition were performed. As of 2020, about 3 years after surgery, there has been no relapse of the infection. DISCUSSION: Using our novel operative method, we can minimize exposure of the artificial blood vessel and surrounding tissue to intestinal juice and pus. We believe that this reduces the risk of postoperative artificial blood vessel reinfection. CONCLUSION: Controlling bleeding by EVAR and resection of the duodenum and artificial blood vessels as a group without opening the syringeal part can contribute to positive long-term results as this method minimizes the pollution of the duodenectomy surgical field. |
format | Online Article Text |
id | pubmed-7276383 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-72763832020-06-10 Secondary aorto-duodenal fistula successfully treated with a novel surgical method: A case report Tsuneki, Takao Yuasa, Yasuhiro Fukuta, Mizuki Maki, Hidenori Matsuo, Yuta Mori, Osamu Eto, Shohei Fujiwara, Satoshi Tomibayashi, Atsusi Otani, Takashi Int J Surg Case Rep Article INTRODUCTION: Secondary aorto-duodenal fistula (sADF) is a complication of abdominal aorta artificial blood vessel replacement that often leads to death. However, an optimal operative method has not yet been established. We describe a patient who underwent artificial blood vessel reimplantation and duodenectomy after endovascular aneurysmal repair (EVAR) with positive outcomes. PRESENTATION OF CASE: An 84-year-old man underwent artificial blood vessel replacement in 2015. In September 2016, he visited our emergency department and was diagnosed with sADF based on computed tomography. Urgent EVAR was performed, followed by duodenal segmental resection on the next day without opening the syringeal part to minimize the pollution of the operative field. Artificial blood vessel reimplantation and omental flap transposition were performed. As of 2020, about 3 years after surgery, there has been no relapse of the infection. DISCUSSION: Using our novel operative method, we can minimize exposure of the artificial blood vessel and surrounding tissue to intestinal juice and pus. We believe that this reduces the risk of postoperative artificial blood vessel reinfection. CONCLUSION: Controlling bleeding by EVAR and resection of the duodenum and artificial blood vessels as a group without opening the syringeal part can contribute to positive long-term results as this method minimizes the pollution of the duodenectomy surgical field. Elsevier 2020-05-29 /pmc/articles/PMC7276383/ /pubmed/32506022 http://dx.doi.org/10.1016/j.ijscr.2020.05.041 Text en © 2020 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Tsuneki, Takao Yuasa, Yasuhiro Fukuta, Mizuki Maki, Hidenori Matsuo, Yuta Mori, Osamu Eto, Shohei Fujiwara, Satoshi Tomibayashi, Atsusi Otani, Takashi Secondary aorto-duodenal fistula successfully treated with a novel surgical method: A case report |
title | Secondary aorto-duodenal fistula successfully treated with a novel surgical method: A case report |
title_full | Secondary aorto-duodenal fistula successfully treated with a novel surgical method: A case report |
title_fullStr | Secondary aorto-duodenal fistula successfully treated with a novel surgical method: A case report |
title_full_unstemmed | Secondary aorto-duodenal fistula successfully treated with a novel surgical method: A case report |
title_short | Secondary aorto-duodenal fistula successfully treated with a novel surgical method: A case report |
title_sort | secondary aorto-duodenal fistula successfully treated with a novel surgical method: a case report |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276383/ https://www.ncbi.nlm.nih.gov/pubmed/32506022 http://dx.doi.org/10.1016/j.ijscr.2020.05.041 |
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