Aortoduodenal fistula and aortic aneurysm secondary to biliary stent-induced retroperitoneal perforation.
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.
Lee
Tae-Hoon
TH
Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Songpagu, Seoul 138-736, South Korea.
Park
Do-Hyun
DH
Park
Ji-Young
JY
Lee
Suck-Ho
SH
Chung
Il-Kwun
IK
Kim
Hong-Soo
HS
Park
Sang-Heum
SH
Kim
Sun-Joo
SJ
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
D000900:Anti-Bacterial Agents