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.
Zhou
Jian-cang
JC
Department of Critical Care Medicine, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China. jiancangzhou@hotmail.com
Xu
Qiu-ping
QP
Shen
Lai-gen
LG
Pan
Kong-han
KH
Mou
Yi-ping
YP
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*