Jahanshahi F, Naderi D, Khaleghian M, Sarafi M, Ahmadi V, Saberi A. Primary aortoduodenal fistula: As a first presentation of brucellosis; a case report.
Int J Surg Case Rep 2024;
118:109609. [PMID:
38653169 PMCID:
PMC11063533 DOI:
10.1016/j.ijscr.2024.109609]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Revised: 03/28/2024] [Accepted: 03/31/2024] [Indexed: 04/25/2024] Open
Abstract
INTRODUCTION
The etiologies of primary aortoenteric fistula include aneurysm (most common), foreign body, tumor, radiation therapy, and infection (e.g., tuberculosis, syphilis). Brucellosis is a rare cause of primary aortoenteric fistula.
PRESENTATION OF CASE
In this study, we reported the case ofa 55-years-old male with an aortoenteric fistula and a positive brucellosis test.
DISCUSSION
In regions where brucellosis is endemic, the coexistence of aortitis and aneurysm should prompt consideration of brucella infection as a relatively uncommon cause of aortoenteric fistula.
CONCLUSION
While aortitis due to brucellosis is rare, it can lead to life-threatening manifestations such as aortoduodenal fistula. Therefore, we recommend the use of Wright, Coombs Wright, and 2ME tests in similar cases.
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