Ben Fredj Ismail F, Hadj Khelifa S, Toumi Ghannouchi S, Mrad B, Mhiri HH, Mazhoud J, Ben Ali A, Cheouech A, Laouani Kechrid C. [Isolated abdominal pain revealing a paraprosthetic fistula in a patient with Takayasu arteritis].
Rev Med Interne 2010;
32:e9-11. [PMID:
20884098 DOI:
10.1016/j.revmed.2009.12.016]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2009] [Revised: 11/03/2009] [Accepted: 12/03/2009] [Indexed: 11/29/2022]
Abstract
Aortic aneurysms and stenosis occurring in Takayasu arteritis may require aortic prosthesis that can be complicated by aorto-digestive fistula. We report a 41-year-old female who presented with an isolated abdominal pain revealing a para-prosthetic aorto-duodenal fistula complicating a Takayasu arteritis. The diagnosis of aorto-digestive fistula may be difficult if abdominal pain is isolated and imaging inconclusive. Surgical procedure may be necessary to obtain the diagnosis and constitutes the main part of the treatment before fatal outcome.
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