title: Aortoduodenal fistula and aortic aneurysm secondary to biliary stent-induced retroperitoneal perforation.
abstract: Duodenal perforations caused by biliary prostheses are not uncommon, and they are potentially life threatening and require immediate treatment. We describe an unusual case of aortic aneurysm and rupture which occurred after retroperitoneal aortoduodenal fistula formation as a rare complication caused by biliary metallic stent-related duodenal perforation. To our knowledge, this is the first report describing a lethal complication of a bleeding, aortoduodenal fistula and caused by biliary metallic stent-induced perforation.
authors.affiliation: Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Songpagu, Seoul 138-736, South Korea.
authors.forename: Tae-Hoon
authors.initials: TH
authors.lastname: Lee
authors.forename: Do-Hyun
authors.initials: DH
authors.lastname: Park
authors.forename: Ji-Young
authors.initials: JY
authors.lastname: Park
authors.forename: Suck-Ho
authors.initials: SH
authors.lastname: Lee
authors.forename: Il-Kwun
authors.initials: IK
authors.lastname: Chung
authors.forename: Hong-Soo
authors.initials: HS
authors.lastname: Kim
authors.forename: Sang-Heum
authors.initials: SH
authors.lastname: Park
authors.forename: Sun-Joo
authors.initials: SJ
authors.lastname: Kim
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D001018:Aortic Diseases / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D001019:Aortic Rupture / Q000209:etiology; D001662:Biliary Tract Surgical Procedures / Q000009:adverse effects* / Q000295:instrumentation; D020878:Device Removal; D004378:Duodenal Diseases / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D004386:Duodenum / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D007416:Intestinal Perforation / Q000150:complications* / Q000209:etiology / Q000473:pathology / Q000628:therapy; D010190:Pancreatic Neoplasms / Q000601:surgery; D010288:Parenteral Nutrition; D012421:Rupture; D015607:Stents / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000209:etiology* / Q000473:pathology / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents