Aortoduodenal fistula following aortic reconstruction of a pseudoaneurysm caused by stab wound 12 years ago.
Gastrointestinal bleeding due to aortoenteric fistula is extremely rare. Aortoenteric fistula is difficult to be diagnosed timely and entails a significant morbidity and mortality. Herein, we present an uncommon case of gastrointestinal bleeding caused by aortoduodenal fistula, which was a complication of a successful aortic reconstruction 4 months ago for an aortic pseudoaneurysm resulted from a stab wound 12 years ago. An urgent laparotomy confirmed an aortoduodenal fistula and repaired the defects in aorta and duodenum, but a prolonged shock led to the patient's death. In summary, early diagnosis and surgical intervention for aortoenteric fistula are vital for survival.
Department of Critical Care Medicine, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China. jiancangzhou@hotmail.com
Jian-cang
JC
Zhou
Qiu-ping
QP
Xu
Lai-gen
LG
Shen
Kong-han
KH
Pan
Yi-ping
YP
Mou
D000328:Adult; D017541:Aneurysm, False / Q000209:etiology* / Q000601:surgery*; D001011:Aorta / Q000293:injuries / Q000601:surgery; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology*; D013504:Cardiovascular Surgical Procedures / Q000009:adverse effects*; D004378:Duodenal Diseases / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D014951:Wounds, Stab / Q000150:complications / Q000601:surgery*