Sakakibara S, Shijo T, Maeda K, Yamashita K, Ide T, Matsumoto R, Shimamura K, Miyagawa S. Successful surgery for secondary aortoduodenal fistula based on
18F-fluorodeoxyglucose positron emission tomography/computed tomography findings.
J Vasc Surg Cases Innov Tech 2023;
9:101162. [PMID:
37168704 PMCID:
PMC10164885 DOI:
10.1016/j.jvscit.2023.101162]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Accepted: 02/24/2023] [Indexed: 05/13/2023] Open
Abstract
Secondary aortoduodenal fistula (sADF) is a critical late complication of abdominal aortic repair, requiring complete excision of the infected prosthesis. However, this is a highly invasive procedure for the elderly. We describe a case of sADF repair in a 76-year-old woman. Through 18F (fluorine-18)-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography mapping, focal high FDG uptake at the sADF site, right medial limb, and ligated left lateral limb of the prosthesis was detected. The duodenal and prosthetic grafts were partially resected. The proximal and distal anastomotic segments, with no FDG uptake, were retained. The abdominal aorta was reconstructed using a bovine pericardium roll and femorofemoral bypass. Thus, FDG positron emission tomography/computed tomography mapping of the infection site could help in such cases.
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