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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Main Authors: Mircea Beuran, Ionut Negoi, Ruxandra Irina Negoi, Sorin Hostiuc, Sorin Paun
Format: Article
Language:English
Published: Sociedade Brasileira de Cirurgia Cardiovascular
Series:Brazilian Journal of Cardiovascular Surgery
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000300261&lng=en&tlng=en
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spelling 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
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AT ionutnegoi primaryaortoduodenalfistulafirstyoushouldsuspectit
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AT sorinhostiuc primaryaortoduodenalfistulafirstyoushouldsuspectit
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