Inoue K, Fukunaga R, Matsubara Y, Aoyagi Y, Matsuda D, Kyuragi R, Morisaki K, Matsumoto T, Oki E, Maehara Y. Primary aortoduodenal fistula with a history of distal gastrectomy.
Acute Med Surg 2016;
4:105-108. [PMID:
29123844 PMCID:
PMC5667283 DOI:
10.1002/ams2.224]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2015] [Accepted: 05/05/2016] [Indexed: 01/08/2023] Open
Abstract
Case
A 69‐year‐old man was transferred to our hospital because of an aortoduodenal fistula with hematemesis and pre‐shock vital signs. He had a history of alcoholism, malnutrition, and distal gastrectomy and Billroth I reconstruction. Endovascular aneurysm repair was successfully carried out; however, the presence of comorbidities affected further radical treatment.
Outcome
The patient survived for 2 months postoperatively.
Conclusion
Endovascular aneurysm repair is a useful first‐line treatment for high‐risk aortoduodenal fistula patients; however, it requires improvement for long‐term outcomes in complicated high‐risk cases.
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