-
Tytuł:
-
Primary Aortoduodenal Fistula in a Patient With Multiple Duodenal Diverticula.
-
Autorzy:
-
Zhu J; Department of Vascular Surgery, General Hospital of Tianjin Medical University, Tianjin, P. R. China.
Lv L; Department of Vascular Surgery, General Hospital of Tianjin Medical University, Tianjin, P. R. China.
Dai X; Department of Vascular Surgery, General Hospital of Tianjin Medical University, Tianjin, P. R. China. Electronic address: .
Fan H; Department of Vascular Surgery, General Hospital of Tianjin Medical University, Tianjin, P. R. China.
Luo Y; Department of Vascular Surgery, General Hospital of Tianjin Medical University, Tianjin, P. R. China.
Feng Z; Department of Vascular Surgery, General Hospital of Tianjin Medical University, Tianjin, P. R. China.
Zhang Y; Department of Vascular Surgery, General Hospital of Tianjin Medical University, Tianjin, P. R. China.
Hu F; Department of Vascular Surgery, General Hospital of Tianjin Medical University, Tianjin, P. R. China.
-
Źródło:
-
Annals of vascular surgery [Ann Vasc Surg] 2022 Mar; Vol. 80, pp. 394.e1-394.e4. Date of Electronic Publication: 2021 Nov 13.
-
Typ publikacji:
-
Case Reports; Journal Article
-
Język:
-
English
-
Imprint Name(s):
-
Publication: <2007->: Netherlands : Elsevier
Original Publication: Detroit : [Published by Expansion scientifique française for Annals of Vascular Surgery, Inc. and Association pour la promotion de la chirurgie vasculaire, Paris, c1986-
-
MeSH Terms:
-
Aortic Diseases/*etiology
Diverticulum/*complications
Duodenal Diseases/*complications
Intestinal Fistula/*etiology
Vascular Fistula/*etiology
Aged ; Aortic Aneurysm, Abdominal/complications ; Gastrointestinal Hemorrhage/etiology ; Hematemesis/etiology ; Humans ; Male
-
Entry Date(s):
-
Date Created: 20211115 Date Completed: 20220322 Latest Revision: 20220322
-
Update Code:
-
20240105
-
DOI:
-
10.1016/j.avsg.2021.10.024
-
PMID:
-
34780957
-
A 67-year-old man with massive hematemesis was transferred to the emergency unit of our hospital. The patient was diagnosed with primary aortoduodenal fistula (PADF) based on the CT findings. Upon emergent exploration, multiple duodenal diverticula were found and in situ abdominal aortic aneurysm (AAA) repair using polytetrafluoroethylene (PTFE) graft was performed. The third and fourth parts of the duodenum with multiple duodenal diverticula and the origin of jejunum were excised, and end-to-side duodenojejunostomy was performed. The patient was discharged on the 38th postoperative day with another 6 month oral antibiotic treatment. The duodenal diverticula may be the cause for PADF.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
