Primary Aortoduodenal Fistula: First you Should Suspect it
ABSTRACT A 59 year-old patient was admitted with upper gastrointestinal bleeding. The clinical exam showed mild hypotension and blood samples revealed acute anemia (hemoglobin = 7.5 g/dl). Emergency computed tomography showed an infrarenal abdominal aortic aneurysm and extravasation of the arterial...
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Sociedade Brasileira de Cirurgia Cardiovascular
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doaj-4ec2843c54da45d09bb0a9f3c209bbf12020-11-24T20:42:01ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-974131326126310.5935/1678-9741.20160049S0102-76382016000300261Primary Aortoduodenal Fistula: First you Should Suspect itMircea BeuranIonut NegoiRuxandra Irina NegoiSorin HostiucSorin PaunABSTRACT A 59 year-old patient was admitted with upper gastrointestinal bleeding. The clinical exam showed mild hypotension and blood samples revealed acute anemia (hemoglobin = 7.5 g/dl). Emergency computed tomography showed an infrarenal abdominal aortic aneurysm and extravasation of the arterial contrast material toward the digestive tract. The patient was transported to the operating room for emergency laparotomy, which showed an aortoduodenal fistula. After proximal and distal aortic vascular control, the two anatomical structures were dissected with duodenorrhaphy, patch repair of the aortic tear and omentum interposition. The postoperative recovery was uneventful, with discharge after 12 days.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000300261&lng=en&tlng=enAorta, AbdominalDuodenumDigestive System Fistula |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mircea Beuran Ionut Negoi Ruxandra Irina Negoi Sorin Hostiuc Sorin Paun |
spellingShingle |
Mircea Beuran Ionut Negoi Ruxandra Irina Negoi Sorin Hostiuc Sorin Paun Primary Aortoduodenal Fistula: First you Should Suspect it Brazilian Journal of Cardiovascular Surgery Aorta, Abdominal Duodenum Digestive System Fistula |
author_facet |
Mircea Beuran Ionut Negoi Ruxandra Irina Negoi Sorin Hostiuc Sorin Paun |
author_sort |
Mircea Beuran |
title |
Primary Aortoduodenal Fistula: First you Should Suspect it |
title_short |
Primary Aortoduodenal Fistula: First you Should Suspect it |
title_full |
Primary Aortoduodenal Fistula: First you Should Suspect it |
title_fullStr |
Primary Aortoduodenal Fistula: First you Should Suspect it |
title_full_unstemmed |
Primary Aortoduodenal Fistula: First you Should Suspect it |
title_sort |
primary aortoduodenal fistula: first you should suspect it |
publisher |
Sociedade Brasileira de Cirurgia Cardiovascular |
series |
Brazilian Journal of Cardiovascular Surgery |
issn |
1678-9741 |
description |
ABSTRACT A 59 year-old patient was admitted with upper gastrointestinal bleeding. The clinical exam showed mild hypotension and blood samples revealed acute anemia (hemoglobin = 7.5 g/dl). Emergency computed tomography showed an infrarenal abdominal aortic aneurysm and extravasation of the arterial contrast material toward the digestive tract. The patient was transported to the operating room for emergency laparotomy, which showed an aortoduodenal fistula. After proximal and distal aortic vascular control, the two anatomical structures were dissected with duodenorrhaphy, patch repair of the aortic tear and omentum interposition. The postoperative recovery was uneventful, with discharge after 12 days. |
topic |
Aorta, Abdominal Duodenum Digestive System Fistula |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000300261&lng=en&tlng=en |
work_keys_str_mv |
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