Primary Aortoduodenal Fistula in a Patient With Pararenal Abdominal Aortic Aneurysm

Genovés-Gascó, Beatriz; Torres-Blanco, Álvaro; Plaza-Martínez, A.; Olmos-Sánchez, David; Gómez-Palonés, F.J.; Ortiz-Monzón, E.

doi:10.1016/j.avsg.2011.11.030

Cited by 8 publications

(11 citation statements)

References 25 publications

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“…Haemorrhagically unstable patients mandate emerging laparotomy, therefore diagnosis is often obtained intra-operatively. The risk of recurrent bleeding immediately before surgical repair may be reduced maintaining blood pressure between 60 and 100 mmHg [ 22 ]. Stable patients with upper GI bleeding usually undergo EGD; however, quite often the third and fourth portion of the duodenum cannot be observed with traditional instrumentation (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…Escherichia coli , E. faecalis , salmonella , mycobacterium tuberculosis , c lostridium septicum , lactobacillus and Klebsiella are most frequently isolated. Many authors suggest antibiotic therapy for at least one week if cultures are negative, whereas positive cultures demand extended administration for up to six weeks following surgery [ 1 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

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Unusual clinical presentation of primary aortoduodenal fistula

Bissacco

Freni

Attisani

et al. 2014

Gastroenterology Report

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Primary aorto-enteric fistula (PAEF) develops between the native aorta and the gastro-intestinal tract, in the presence of an abdominal aortic aneurysm. It is a rare, life-threatening condition and appears to be less frequent than secondary aorto-enteric fistula, which is associated with previous aortic prosthetic reconstruction. When untreated, the overall mortality rate is almost 100%. Diagnosis may be challenging until the occurrence of a massive haemorrhage. In the presence of gross contamination, patients tend to a worse prognosis. Extra-anatomical bypass and repair of the enteric tract is the treatment of choice in case of gross contamination. In situ reconstruction is often reported in cases of mild bacterial contamination. Endovascular treatment has recently become a valid option in haemodynamically unstable patients, but a staged approach, with delayed surgical treatment, seems advisable.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Unusual clinical presentation of primary aortoduodenal fistula

Bissacco

Freni

Attisani

et al. 2014

Gastroenterology Report

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“…При инфицировании АЭФ часто встречаемыми микроорганизмами являются сальмонеллы, эшерихии, клебсиеллы, стафилококки и стрептококки [9,15].…”

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“…Несмотря на многообразие высокотехнологических мето-дов диагностики ПАЭФ, диагноз часто устанавливают лишь интраоперационно [9].…”

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“…Многие авторы [9,15] рекомендуют проведение анти-бактериальной терапии в течение, по крайней мере, од-ной недели при отрицательном бактериальном посеве, тогда как положительные результаты требуют продления антибиотикотерапии на срок до 6 нед после операции. Препаратами выбора являются ванкомицин и имипенем [5].…”

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Aorto-femoral replacement in patient with infrarenal aortic aneurysm and primary aorto-duodenal fistula

Belov¹,

Виноградов²,

Komarov³

et al. 2015

Kardiol. serdechno-sosud. khir.

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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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Primary Aortoduodenal Fistula in a Patient With Pararenal Abdominal Aortic Aneurysm

Cited by 8 publications

References 25 publications

Unusual clinical presentation of primary aortoduodenal fistula

Unusual clinical presentation of primary aortoduodenal fistula

Aorto-femoral replacement in patient with infrarenal aortic aneurysm and primary aorto-duodenal fistula

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

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