title: [Conservative treatment of an aortoduodenal fistula after paraaortic lymphadenectomy in hepatobiliary malignancy surgery with aortic endoprosthesis].
abstract: Lower gastrointestinal bleeding from a primary aortoduodenal fistula is unusual and usually fatal. Postoperative aortoduodenal fistula after biliary surgery is a very rare complication. We report hence a 69-year-old female patient who underwent a main bile duct resection with extended paraaortic lymphadenectomy for a cholangiocarcinoma. Acute melena with hemoglobin drop occurred on postoperative day 24. Initial CT-scan showed an aortic pseudoaneurysm with aortoduodenal fistula. An aortic endoprosthesis with endoscopic drainage of periaortic collections allowed successful treatment.
authors.affiliation: Service de chirurgie digestive, fédération médicochirurgicale de pathologies digestives, CHU Nord-Amiens, place Victor-Pauchet, Amiens cedex 1, France.
authors.forename: D
authors.initials: D
authors.lastname: Fuks
authors.forename: C
authors.initials: C
authors.lastname: Humbert-Claude
authors.forename: J-B
authors.initials: JB
authors.lastname: Deguines
authors.forename: C
authors.initials: C
authors.lastname: Sabbagh
authors.forename: F
authors.initials: F
authors.lastname: Browet
authors.forename: H
authors.initials: H
authors.lastname: Hajji
authors.forename: S
authors.initials: S
authors.lastname: Blampain
authors.forename: B
authors.initials: B
authors.lastname: Reix
authors.forename: D
authors.initials: D
authors.lastname: Chatelain
authors.forename: T
authors.initials: T
authors.lastname: Reix
authors.forename: J-M
authors.initials: JM
authors.lastname: Régimbeau
mesh_terms: D000368:Aged; D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000209:etiology* / Q000628:therapy*; D001650:Bile Duct Neoplasms / Q000601:surgery; D001653:Bile Ducts, Intrahepatic; D001807:Blood Vessel Prosthesis; D018281:Cholangiocarcinoma / Q000601:surgery; D004378:Duodenal Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D008197:Lymph Node Excision / Q000009:adverse effects*; D016157:Vascular Fistula / Q000209:etiology* / Q000628:therapy*