Primary Aortoduodenal Fistula with Hematemesis

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Unusual clinical presentation of primary aortoduodenal fistula

Primary aorto-enteric fistula (PAEF) develops between the native aorta and the gastro-intestinal tract, in the presence of an abdominal aortic aneurysm. It is a rare, life-threatening condition and appears to be less frequent than secondary aorto-enteric fistula, which is associated with previous aortic prosthetic reconstruction. When untreated, the overall mortality rate is almost 100%. Diagno...

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Primary aortoduodenal fistula – a rare clinical entity

Abdominal aortic aneurysm (AAA) is a very serious and rare communication between the lumen of the aorta and that of the duodenum. When such a fistula occurs in the absence of previous aortic aneurysm surgery, it is called a primary aortoduodenal fistula (PADF), a condition much less frequent than a secondary aortoduodenal fistula which occurs as a result of previous aortic aneurysm grafting. Th...

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Mycotic aneurysm with aortoduodenal fistula

Firstly described in the 19th century by Sir William Osler, the mycotic aneurysm (MA) is a rare entity characterized by an abnormal arterial dilation, which is potentially fatal, and is associated with the infection of the vascular wall. Elderly patients are mostly involved, especially when risk factors like chronic diseases, immunosuppression, neoplasia, and arterial manipulation are associate...

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Primary aortoduodenal fistula with a history of distal gastrectomy

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 surviv...

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Primary aortoduodenal fistula: a rare entity with lethal effects

Primary aortoduodenal fistula (ADF) is a rare but morbid diagnosis. Here, we present the case of a patient with a primary ADF that resulted in mortality. Despite multiple attempts at radiographic and endoscopic diagnosis, the fistula did not declare itself until the patient exsanguinated. Given the morbidity associated with ADF and the imperfection of associated diagnostic studies, a high index...

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ژورنال

عنوان ژورنال: The Japanese Journal of Gastroenterological Surgery

سال: 2020

ISSN: 0386-9768,1348-9372

DOI: 10.5833/jjgs.2019.0012