Secondary aortoduodenal fistula

Girolamo Geraci, Giuseppe Modica, Carmelo Sciume', Franco Pisello, Lina Platia, Tiziana Facella

Risultato della ricerca: Article

21 Citazioni (Scopus)

Abstract

Aorto-duodenal fistulae (ADF) are the most frequent aorto-enteric fistulae (80%), presenting with upper gastrointestinal bleeding. We report the first case of a man with a secondary aorto-duodenal fistula presenting with a history of persistent occlusive syndrome. A 59-year old man who underwent an aortic-bi-femoral bypass 5 years ago, presented with dyspepsia and biliary vomiting. Computed tomography scan showed in the third duodenal segment the presence of inflammatory tissue with air bubbles between the duodenum and prosthesis, adherent to the duodenum. The patient was submitted to surgery, during which the prosthesis was detached from the duodenum, the intestine failed to close and a gastro-jejunal anastomosis was performed. The post-operative course was simple, secondary ADF was a complication (0.3%-2%) of aortic surgery. Mechanical erosion of the prosthetic material into the bowel was due to the lack of interposed retroperitoneal tissue or the excessive pulsation of redundantly placed grafts or septic procedures. The third or fourth duodenal segment was most frequently involved. Diagnosis of ADF was difficult. Surgical treatment is always recommended by explorative laparotomy. ADF must be suspected whenever a patient with aortic prosthesis has digestive bleeding or unexplained obstructive syndrome. Rarely the clinical picture of ADF is subtle presenting as an obstructive syndrome and in these cases the principal goal is to effectively relieve the mechanical bowel obstruction.
Lingua originaleEnglish
pagine (da-a)484-486
Numero di pagine3
RivistaDefault journal
Volume14
Stato di pubblicazionePublished - 2008

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Fistula
Duodenum
Prostheses and Implants
Hemorrhage
Dyspepsia
Thigh
Laparotomy
Intestines
Vomiting
Air
Tomography
Transplants

All Science Journal Classification (ASJC) codes

  • Gastroenterology

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Geraci, G., Modica, G., Sciume', C., Pisello, F., Platia, L., & Facella, T. (2008). Secondary aortoduodenal fistula. Default journal, 14, 484-486.

Secondary aortoduodenal fistula. / Geraci, Girolamo; Modica, Giuseppe; Sciume', Carmelo; Pisello, Franco; Platia, Lina; Facella, Tiziana.

In: Default journal, Vol. 14, 2008, pag. 484-486.

Risultato della ricerca: Article

Geraci, G, Modica, G, Sciume', C, Pisello, F, Platia, L & Facella, T 2008, 'Secondary aortoduodenal fistula', Default journal, vol. 14, pagg. 484-486.
Geraci G, Modica G, Sciume' C, Pisello F, Platia L, Facella T. Secondary aortoduodenal fistula. Default journal. 2008;14:484-486.
Geraci, Girolamo ; Modica, Giuseppe ; Sciume', Carmelo ; Pisello, Franco ; Platia, Lina ; Facella, Tiziana. / Secondary aortoduodenal fistula. In: Default journal. 2008 ; Vol. 14. pagg. 484-486.
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abstract = "Aorto-duodenal fistulae (ADF) are the most frequent aorto-enteric fistulae (80{\%}), presenting with upper gastrointestinal bleeding. We report the first case of a man with a secondary aorto-duodenal fistula presenting with a history of persistent occlusive syndrome. A 59-year old man who underwent an aortic-bi-femoral bypass 5 years ago, presented with dyspepsia and biliary vomiting. Computed tomography scan showed in the third duodenal segment the presence of inflammatory tissue with air bubbles between the duodenum and prosthesis, adherent to the duodenum. The patient was submitted to surgery, during which the prosthesis was detached from the duodenum, the intestine failed to close and a gastro-jejunal anastomosis was performed. The post-operative course was simple, secondary ADF was a complication (0.3{\%}-2{\%}) of aortic surgery. Mechanical erosion of the prosthetic material into the bowel was due to the lack of interposed retroperitoneal tissue or the excessive pulsation of redundantly placed grafts or septic procedures. The third or fourth duodenal segment was most frequently involved. Diagnosis of ADF was difficult. Surgical treatment is always recommended by explorative laparotomy. ADF must be suspected whenever a patient with aortic prosthesis has digestive bleeding or unexplained obstructive syndrome. Rarely the clinical picture of ADF is subtle presenting as an obstructive syndrome and in these cases the principal goal is to effectively relieve the mechanical bowel obstruction.",
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T1 - Secondary aortoduodenal fistula

AU - Geraci, Girolamo

AU - Modica, Giuseppe

AU - Sciume', Carmelo

AU - Pisello, Franco

AU - Platia, Lina

AU - Facella, Tiziana

PY - 2008

Y1 - 2008

N2 - Aorto-duodenal fistulae (ADF) are the most frequent aorto-enteric fistulae (80%), presenting with upper gastrointestinal bleeding. We report the first case of a man with a secondary aorto-duodenal fistula presenting with a history of persistent occlusive syndrome. A 59-year old man who underwent an aortic-bi-femoral bypass 5 years ago, presented with dyspepsia and biliary vomiting. Computed tomography scan showed in the third duodenal segment the presence of inflammatory tissue with air bubbles between the duodenum and prosthesis, adherent to the duodenum. The patient was submitted to surgery, during which the prosthesis was detached from the duodenum, the intestine failed to close and a gastro-jejunal anastomosis was performed. The post-operative course was simple, secondary ADF was a complication (0.3%-2%) of aortic surgery. Mechanical erosion of the prosthetic material into the bowel was due to the lack of interposed retroperitoneal tissue or the excessive pulsation of redundantly placed grafts or septic procedures. The third or fourth duodenal segment was most frequently involved. Diagnosis of ADF was difficult. Surgical treatment is always recommended by explorative laparotomy. ADF must be suspected whenever a patient with aortic prosthesis has digestive bleeding or unexplained obstructive syndrome. Rarely the clinical picture of ADF is subtle presenting as an obstructive syndrome and in these cases the principal goal is to effectively relieve the mechanical bowel obstruction.

AB - Aorto-duodenal fistulae (ADF) are the most frequent aorto-enteric fistulae (80%), presenting with upper gastrointestinal bleeding. We report the first case of a man with a secondary aorto-duodenal fistula presenting with a history of persistent occlusive syndrome. A 59-year old man who underwent an aortic-bi-femoral bypass 5 years ago, presented with dyspepsia and biliary vomiting. Computed tomography scan showed in the third duodenal segment the presence of inflammatory tissue with air bubbles between the duodenum and prosthesis, adherent to the duodenum. The patient was submitted to surgery, during which the prosthesis was detached from the duodenum, the intestine failed to close and a gastro-jejunal anastomosis was performed. The post-operative course was simple, secondary ADF was a complication (0.3%-2%) of aortic surgery. Mechanical erosion of the prosthetic material into the bowel was due to the lack of interposed retroperitoneal tissue or the excessive pulsation of redundantly placed grafts or septic procedures. The third or fourth duodenal segment was most frequently involved. Diagnosis of ADF was difficult. Surgical treatment is always recommended by explorative laparotomy. ADF must be suspected whenever a patient with aortic prosthesis has digestive bleeding or unexplained obstructive syndrome. Rarely the clinical picture of ADF is subtle presenting as an obstructive syndrome and in these cases the principal goal is to effectively relieve the mechanical bowel obstruction.

KW - aortoenteric

KW - fistual

KW - iatrogenic

KW - surgery

KW - vascular surgery

UR - http://hdl.handle.net/10447/44940

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