CLC number: R57
On-line Access:
Received: 2008-07-30
Revision Accepted: 2009-01-11
Crosschecked: 2009-03-27
Cited: 1
Clicked: 6079
Jian-cang ZHOU, Qiu-ping XU, Lai-gen SHEN, Kong-han PAN, Yi-ping MOU. Aortoduodenal fistula following aortic reconstruction of a pseudoaneurysm caused by stab wound 12 years ago[J]. Journal of Zhejiang University Science B, 2009, 10(5): 400-403.
@article{title="Aortoduodenal fistula following aortic reconstruction of a pseudoaneurysm caused by stab wound 12 years ago",
author="Jian-cang ZHOU, Qiu-ping XU, Lai-gen SHEN, Kong-han PAN, Yi-ping MOU",
journal="Journal of Zhejiang University Science B",
volume="10",
number="5",
pages="400-403",
year="2009",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B0820231"
}
%0 Journal Article
%T Aortoduodenal fistula following aortic reconstruction of a pseudoaneurysm caused by stab wound 12 years ago
%A Jian-cang ZHOU
%A Qiu-ping XU
%A Lai-gen SHEN
%A Kong-han PAN
%A Yi-ping MOU
%J Journal of Zhejiang University SCIENCE B
%V 10
%N 5
%P 400-403
%@ 1673-1581
%D 2009
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B0820231
TY - JOUR
T1 - Aortoduodenal fistula following aortic reconstruction of a pseudoaneurysm caused by stab wound 12 years ago
A1 - Jian-cang ZHOU
A1 - Qiu-ping XU
A1 - Lai-gen SHEN
A1 - Kong-han PAN
A1 - Yi-ping MOU
J0 - Journal of Zhejiang University Science B
VL - 10
IS - 5
SP - 400
EP - 403
%@ 1673-1581
Y1 - 2009
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B0820231
Abstract: Gastrointestinal bleeding due to aortoenteric fistula is extremely rare. Aortoenteric fistula is difficult to be diagnosed timely and entails a significant morbidity and mortality. Herein, we present an uncommon case of gastrointestinal bleeding caused by aortoduodenal fistula, which was a complication of a successful aortic reconstruction 4 months ago for an aortic pseudoaneurysm resulted from a stab wound 12 years ago. An urgent laparotomy confirmed an aortoduodenal fistula and repaired the defects in aorta and duodenum, but a prolonged shock led to the patient’s death. In summary, early diagnosis and surgical intervention for aortoenteric fistula are vital for survival.
[1] Baril, D.T., Carroccio, A., Ellozy, S.H., Palchik, E., Sachdev, U., Jacobs, T.S., Marin, M.L., 2006. Evolving strategies for the treatment of aortoenteric fistulas. J. Vasc. Surg., 44(2):250-257.
[2] Busuttil, S.J., Goldstone, J., 2001. Diagnosis and management of aorto-enteric fistulas. Semin. Vasc. Surg., 14(4): 302-311.
[3] Danneels, M.I., Verhagen, H.J., Teijink, J.A., Cuypers, P., Nevelsteen, A., Vermassen, F.E., 2006. Endovascular repair for aortoenteric fistula: a bridge to far or a bridge to surgery? Eur. J. Vasc. Endovasc. Surg., 32(1):27-33.
[4] Goshtasby, P., Henriksen, D., Lynd, C., Fielding, L.P., 2005. Recurrent aortoenteric fistula: case report and review. Curr. Surg., 62(6):638-643.
[5] Graber, C.J., Lauring, A.S., Chin-Hong, P.V., 2007. A stitch in time. N. Engl. J. Med., 357(10):1029-1034.
[6] Hughes, F.M., Kavanagh, D., Barry, M., Owens, A., MacErlaine, D.P., Malone, D.E., 2007. Aortoenteric fistula: a diagnostic dilemma. Abdom. Imaging, 32(3): 398-402.
[7] Lemos, D.W., Raffetto, J.D., Moore, T.C., Menzoian, J.O., 2003. Primary aortoduodenal fistula: a case report and review of the literature. J. Vasc. Surg., 37(3):686-689.
[8] Leonhardt, H., Mellander, S., Snygg, J., Lönn, L., 2008. Endovascular management of acute bleeding arterioenteric fistulas. Cardiovasc. Intervent. Radiol., 31(3):542-549.
[9] Mavioglu, I., Sucu, N., Aytacoglu, B.N., Gul, A., Dikmengil, M., 2005. Primary aorto-colic fistula arising from a post-traumatic aortic pseudoaneurysm. Eur. J. Vasc. Endovasc. Surg., 29(1):97-100.
[10] Ödemiş, B., Başar, Ö., Ertuğrul, İ., İbiş, M., Yüksel, İ., Uçar, E., Arda, K., 2008. Detection of an aortoenteric fistula in a patient with intermittent bleeding. Nat. Rev. Gastroenterol. Hepatol., 5(4):226-230.
[11] Perks, F.J., Gillespie, I., Patel, D., 2004. Multidetector computed tomography imaging of aortoenteric fistula. J. Comput. Assist. Tomogr., 28(3):343-347.
[12] Saers, S.J., Scheltinga, M.R., 2005. Primary aortoenteric fistula. Br. J. Surg., 92(2):143-152.
[13] Song, Y., Liu, Q., Shen, H., Jia, X., Zhang, H., Qiao, L., 2008. Diagnosis and management of primary aortoenteric fistulas experience learned from eighteen patients. Surgery, 143(1):43-50.
[14] Sweeney, M.S., Gadacs, T.R., 1984. Primary aorto-duedenal fistula: Manifestation, diagnosis and treatment. Surgery, 96:492-497.
[15] Voorhoeve, R., Moll, F.L., de Letter, J.A., Bast, T.J., Wester, J.P., Slee, P.H., 1996. Primary aortoenteric fistula: report of eight new cases and review of the literature. Ann. Vasc. Surg., 10(1):40-48.
[16] Wang, C.X., Duan, Z.Q., Liang, F.Q., Song, Q.B., Peng, Z., 2006. Diagnosis and treatment of gastrointestinal bleeding post aortic reconstruction. Zhonghua Pu Tong Wai Ke Za Zhi, 15(12):908-911 (in Chinese).
[17] Wood, A., Bendjelid, S.M., Bendjelid, K., 2005. Primary aortoenteric fistula: should enhanced computed tomography be considered in the diagnostic work-up? Anesth. Analg., 101(4):1157-1159.
Open peer comments: Debate/Discuss/Question/Opinion
<1>