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Journal of Zhejiang University SCIENCE B 2009 Vol.10 No.5 P.400-403

http://doi.org/10.1631/jzus.B0820231


Aortoduodenal fistula following aortic reconstruction of a pseudoaneurysm caused by stab wound 12 years ago


Author(s):  Jian-cang ZHOU, Qiu-ping XU, Lai-gen SHEN, Kong-han PAN, Yi-ping MOU

Affiliation(s):  Department of Critical Care Medicine, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China; more

Corresponding email(s):   jiancangzhou@hotmail.com

Key Words:  Aortoduodenal fistula, Aortic pseudoaneurysm, Aortic reconstruction, Stab wound


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.

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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"
}

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%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
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%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B0820231

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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
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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.

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

Reference

[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.

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