Primary aortoduodenal fistula: first you should suspect it
Rev. bras. cir. cardiovasc
; 31(3): 261-263, May.-June 2016. tab, graf
Article
in En
| LILACS
| ID: lil-796129
Responsible library:
BR1.1
ABSTRACT
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.
Key words
Full text:
1
Index:
LILACS
Main subject:
Aortic Diseases
/
Intestinal Fistula
/
Duodenal Diseases
Type of study:
Etiology_studies
Limits:
Humans
/
Male
Language:
En
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
CARDIOLOGIA
/
CIRURGIA GERAL
Year:
2016
Type:
Article