A systematic review of the surgical management of secondary aortoduodenal fistula

Koliakos, Nikolaos; Papakonstantinou, Dimitrios; Tzortzis, Andrianos-Serafeim; Antonopoulos, Constantine N.; Fotios-Christos, Stavratis; Bakopoulos, Anargyros; Schizas, Dimitrios; Lazaris, Andreas M.

doi:10.1016/j.jvs.2022.10.055

Cited by 1 publication

(2 citation statements)

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“…However, for the treatment of brucella arteritis, the antibiotic regimen must include two or three of these five antibiotics: fluoroquinolone, tetracycline, aminoglycoside, sulfanilamide, and rifampin for 3 months with surgical intervention 12 . The operative approach for the revascularization of infected aneurysms is controversial 22 . In the setting of non‐infectious patients, EVAR may prove to be more helpful.…”

Section: Discussionmentioning

confidence: 99%

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Aortoduodenal fistula and abdominal aortic aneurysm as a complication of Brucella Aortitis managed with Insitu aortic aneurysm repair: A case report

Hosseinzadeh,

Zehra,

Davarpanah

et al. 2023

Clinical Case Reports

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Key Clinical MessageBrucella aortitis should be one of the differential diagnoses of inflammatory aortic aneurysms. In situ repair of intermittent aortoenteric fitulae and repair of infrarenal aortic aneurysm with synthetic graft can be used in clean scarred fistulae.AbstractArterial aneurysms are very rare complications of Brucella infection. The purpose of this case report is to document a case of abdominal aortic aneurysm and primary aorto‐duodenal fistula as a complication of Brucella infection, along with the management of brucella induced aortoenteric fistula with insitu synthetic graft. We report a 53‐year‐old man with a complaint of abdominal pain and melena. Radiological evaluation revealed an inflammatory abdominal aortic aneurysm and a primary aorto‐duodenal fistula was identified during surgery. The patient underwent laparotomy, and surgical repair of the aneurysm with a bifurcated Dacron graft, while the entry of the aorto‐duodenal fistula was closed with intra‐aortic sutures. One month later, the patient tested positive for the Wright agglutination test (1:80) and Coomb's test (1:640) for brucella, and was treated with doxycycline, rifampicin, and ciprofloxacin for brucellosis. Though rare, brucella aortitis should be considered as one of the differential diagnoses of inflammatory aortic aneurysms. In situ repair of intermittent aortoenteric fistula and repair of the infrarenal aortic aneurysm with synthetic graft could be considered in a clean scarred fistula.

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Section: Discussionmentioning

confidence: 99%

“… 12 The operative approach for the revascularization of infected aneurysms is controversial. 22 In the setting of non‐infectious patients, EVAR may prove to be more helpful. It is less invasive and more feasible.…”

Section: Discussionmentioning

confidence: 99%