Bowel obstruction due to abdominal aortic aneurysm. Aortoduodenal syndrome

Arenas-García, V.; Santos-Seoane, S.M.; Vega, Celestino

doi:10.1016/j.rgmxen.2019.01.002

Cited by 2 publications

(1 citation statement)

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“…Most of the reported cases in literature had an aneurysm 7.8 cm or larger and were postulated to occur as a result of two factors: first is due to fixed nature of mid to distal duodenum, which is retroperitoneal and second is the location of SMA. 3,4 According to the cases reported in literature, the most frequent symptoms at presentation in order of frequency were vomiting (92%), pulsatile abdominal mass (71%), abdominal pain (58%), weight loss (54%) and electrolyte disturbance (46%). 5 The diagnostic test for aortoduodenal syndrome and to rule out other causes of gastric outlet obstruction is a CT scan with intravenous contrast, this can be followed by an upper gastrointestinal (GI) endoscopy or upper GI contrast-enhanced imaging to exclude intraluminal pathology.…”

Section: Discussionmentioning

confidence: 99%

Unique case of abdominal aortic aneurysm causing obstructive jaundice and duodenal obstruction

Rahman

Joseph

Green

et al. 2023

Journal of the Royal College of Physicians of Edinburgh

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Obstruction of the duodenum by an abdominal aortic aneurysm (AAA) (aortoduodenal syndrome) has rarely been reported. It presents with symptoms of upper gastrointestinal (GI) tract obstruction. Obstructive jaundice caused by an AAA is also extremely rare and requires high clinical suspicion. We present a unique case with informed consent of an elderly gentleman who presented with both rare presentations over a course of few months. After extensive literature search, we have found case reports of patients showing either of the two unusual presentations, but none were found to show them together.

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Section: Discussionmentioning

confidence: 99%

Unique case of abdominal aortic aneurysm causing obstructive jaundice and duodenal obstruction

Rahman

Joseph

Green

et al. 2023

Journal of the Royal College of Physicians of Edinburgh

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Abdominal aortic aneurysm and its association with duodenal obstruction: aortoduodenal syndrome

et al. 2020

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Proximal small bowel obstruction in the region of the duodenum is an uncommon clinical entity. Our case, which involves obstruction of the third portion of the duodenum due to an abdominal aortic aneurysm (AAA), is even more unusual. A review of the relevant literature regarding duodenal obstruction due to extrinsic compression includes features that differentiate aortoduodenal syndrome from superior mesenteric artery syndrome. Management of these conditions range from conservative to surgical, of which now includes a more recent role of metallic stents in some instances.

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Bowel obstruction due to abdominal aortic aneurysm. Aortoduodenal syndrome

Cited by 2 publications

References 0 publications

Unique case of abdominal aortic aneurysm causing obstructive jaundice and duodenal obstruction

Unique case of abdominal aortic aneurysm causing obstructive jaundice and duodenal obstruction

Abdominal aortic aneurysm and its association with duodenal obstruction: aortoduodenal syndrome

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