A primary aorto-duodenal fistula associated with an inflammatory abdominal aortic aneurysm: a case report.
Primary aorto-enteric fistula (PAEF)is a serious complication of abdominal aortic aneurysm(AAA). We report a patient with PAEF associated with inflammatory AAA who underwent emergent surgery. A 52-year-old male presented with recurrent hematemesis. A computer tomography scan showed a sealed rupture of the AAA adjacent to the duodenum. At surgery, a coin-sized PAEF was noted. The aorta was replaced with a Dacron graft in situ . Histological examination revealed the characteristics of an inflammatory AAA. The postoperative course was uneventful, and there has been no evidence of infection during a follow-up period of 3 years. We discuss the etiologic and surgical considerations regarding this unusual entity.
Honjo
Osami
O
Department of Cardiovascular Surgery, Saiseikai Imabari Hospital, Imabari, Ehime, Japan. Osami Honjo@sickkids.ca
Yamada
Yukio
Y
Arata
Takashi
T
Matsuno
Tsuyoshi
T
Kurokawa
Tatsuo
T
Kushida
Yoshio
Y
D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000276:immunology* / Q000473:pathology / Q000601:surgery; D001027:Aortography; D004378:Duodenal Diseases; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery