Abdominal aneurysm with aortoduodenal fistula

Moriyama, Masaaki; Oka, Naokata; Kusaba, Akira; Kiyose, Takashi; Furuyama, Masato; Okadome, Kenichiro; Inokuchi, Kiyoshi

doi:10.1007/bf02468617

Cited by 5 publications

(1 citation statement)

References 11 publications

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“…A sixty-five-year-old man presented himself on foot to the night emergency department with a complaint of sudden onset of an abdominal pain on April 10,1993. While he waited for examination, he suddenly developed cardiac arrest.…”

Section: Case Reportmentioning

confidence: 99%

Successful Surgical Management of an Abdominal Aortic Aneurysm with Acute Aortoduodenal Fistula

et al. 1995

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A primary aortoduodenal fistula is a rare complication of atherosclerotic abdominal aortic aneurysm (AAA). The operative mortality is very high, because of lack of a precise preoperative diagnosis and contamination of the operative field. The authors report a case of a sixty-five-year-old man with aortoduodenal fistula. He was transferred to the emergency unit soon after cardiac arrest. An emergency laparotomy revealed a fistula between the third portion of the duodenum and an AAA. The authors successfully performed graft replacement for infrarenal AAA and primary repair for the penetrated wall of the duodenum.

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Section: Case Reportmentioning

confidence: 99%

Successful Surgical Management of an Abdominal Aortic Aneurysm with Acute Aortoduodenal Fistula

et al. 1995

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Primary Aortoenteric Fistula: Report of Eight New Cases and Review of the Literature

Voorhoeve

Moll

Letter

et al. 1996

Annals of Vascular Surgery

128

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Skin sliding closure technique is effective for management of infected prostheses in cases of arterial reconstruction with synthetic grafts

Okadome

Watanabe

Kina

et al. 1982

The Japanese Journal of Surgery

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A clinical review of 400 prosthetic arterial reconstructions, carried out in the Second Department of Surgery of Kyushu University Hospital during a period from 1965 to 1981, revealed 10 graft infections (2.5 per cent). There were two out of 120 abdominal aneurysms (1.7 per cent) and 8 out of 260 aorto-femoral occlusive diseases (3.1 per cent). The contributing factors included intraoperative contamination with duodenal juice during surgery for abdominal aneurysms ruptured into the duodenum (2 cases), minor hematoma and/or lymphorrhoea at the groin or lower abdominal wall (5 cases), wound infection (1 case), compression necrosis of the sigmoid colon by the implanted graft (1 case) or perityphlitic abscess due to a perforating appendicitis (1 case). Bacteriologic examination revealed a predominance of a variety of staphylococcus at the groin or lower abdominal wall and E. coli in the abdominal cavity. Four patients expired. Limb amputation had to be done in 2, and 4 were cured. In the management of infected graft at the groin or lower abdominal wall, we used with success a skin sliding closure technique after continuous wound lavage in 3 patients.

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Abdominal aneurysm with aortoduodenal fistula

Cited by 5 publications

References 11 publications

Successful Surgical Management of an Abdominal Aortic Aneurysm with Acute Aortoduodenal Fistula

Successful Surgical Management of an Abdominal Aortic Aneurysm with Acute Aortoduodenal Fistula

Primary Aortoenteric Fistula: Report of Eight New Cases and Review of the Literature

Skin sliding closure technique is effective for management of infected prostheses in cases of arterial reconstruction with synthetic grafts

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