Duodenal obstruction by abdominal aortic aneurysms.
We report a case of duodenal obstruction caused by an abdominal aortic aneurysm. The duodenum was firmly attached to the lateral wall of the aneurysm by a tough, fibrous band. Duodenal obstruction is a rare presenting complaint in a patient with an abdominal aortic aneurysm. Anatomic features have not been routinely described in previous patients. We propose a mechanism for the cause of this entity and a review of the literature. The treatment of choice is resection of the aneurysm with graft replacement of the aorta.
Department of Surgical Education, Iowa Methodist Medical Center, Des Moines.
D D
DD
Coster
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DH
Stubbs
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Sidney
D000368:Aged; D001012:Aorta, Abdominal; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery*; D001027:Aortography; D004380:Duodenal Obstruction / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed