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Primary Aorto-Duodenal Fistula in Salmonella Mycotic Aortic Aneurysm: A Case Report
Journal of the Korean Society for Vascular Surgery ; : 79-82, 2003.
Article in Korean | WPRIM | ID: wpr-53966
ABSTRACT
Primary aortoenteric fistulae (AEFs) are extremely rare vascular disease entities, with a mortality ranging from 33 to 85%. Only two cases of Salmonella mycotic aortic aneurysms causing primary AEFs have been reported. We experienced a rare case of a 57-year-old man with intermittent gastrointestinal bleeds and who was diagnosed as having primary aortoenteric fistula with abdominal aortic aneurysm, confirmed by CT. In the operation room, the fistula was closed and a temporary proximal duodenojejunostomy was created. The aneurysm was replaced with an aorto-biiliac bypass using Dacron Graft with an inter-positioning omental flap. The microbiology report of aneurysm wall, blood and periaortic tissue showed infection with group D salmonella. He was treated with ciprofloxacin and discharged in good general condition on the 21st post-operative day.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Aortic Aneurysm / Salmonella / Vascular Diseases / Ciprofloxacin / Mortality / Aortic Aneurysm, Abdominal / Polyethylene Terephthalates / Transplants / Fistula / Aneurysm Type of study: Prognostic study Limits: Humans Language: Korean Journal: Journal of the Korean Society for Vascular Surgery Year: 2003 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Aortic Aneurysm / Salmonella / Vascular Diseases / Ciprofloxacin / Mortality / Aortic Aneurysm, Abdominal / Polyethylene Terephthalates / Transplants / Fistula / Aneurysm Type of study: Prognostic study Limits: Humans Language: Korean Journal: Journal of the Korean Society for Vascular Surgery Year: 2003 Type: Article