Primary aortoduodenal fistula: first you should suspect it
Rev. bras. cir. cardiovasc
;
31(3): 261-263, May.-June 2016. tab, graf
Article
in English
| LILACS
| ID: lil-796129
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.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Aortic Diseases
/
Intestinal Fistula
/
Duodenal Diseases
Type of study:
Etiology study
Limits:
Humans
/
Male
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2016
Type:
Article
Affiliation country:
Romania
Institution/Affiliation country:
Carol Davila University of Medicine and Pharmacy Bucharest/RO
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