Primary Aortoduodenal Fistula: Successful Surgical Treatment

Coselli, Joseph S.; El-Shaker, Mohamed; Feteih, Wael; Beall, Arthur C.

doi:10.5144/0256-4947.1984.193

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…The initial management and short-term follow-up of this case have been reported previously. 6 Case 2. A 67-year-old man entered the hospital with intermittent left-sided abdominal pain and melena of 4 weeks' duration.…”

Section: Case Reportsmentioning

confidence: 99%

Primary aortoduodenal fistula caused by Salmonella aortitis

Morrow

Safi

Beall

1987

Journal of Vascular Surgery

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We report the management and follow-up of two cases of primary aortoduodenal fistulas caused by Salmonella aortitis. The origin, presentation, diagnosis, and results of operative therapy for patients with primary aortoduodenal fistulas, especially patients with positive aortic wall cultures, are reviewed. Successful therapeutic principles included early intervention, primary duodenal repair, aneurysm resection, aortic reconstruction with an in situ Dacron graft, and prolonged courses of bactericidal antibiotics.

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Section: Case Reportsmentioning

confidence: 99%

Primary aortoduodenal fistula caused by Salmonella aortitis

Morrow

Safi

Beall

1987

Journal of Vascular Surgery

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Salmonella aortitis. A report of a successfully treated case with a comprehensive review of the literature

Oskoui

Davis²,

Gomes³

1993

Archives of Internal Medicine

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A successfully treated case of Salmonella infection of the thoracic aorta is described. Salmonella enteritidis was isolated from blood cultures and from operative cultures of the aorta. Computed tomography suggested the site of infection, and the resection of the thoracic aortic aneurysm with specific antibiotic therapy resulted in a satisfactory outcome. Although once invariably fatal, improved diagnostic roentgenographic techniques, more potent antibiotics, and surgical advances have resulted in at least 45 reported survivors over the last 15 years. The pathogenesis, clinical and laboratory characteristics, and the treatment of aortitis due to Salmonella species are reviewed in 98 cases reported in the English-language literature since 1948. Early diagnosis and a combination of prompt surgical intervention and antibiotic therapy are essential for survival.

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Primary Aortoduodenal Fistula: Successful Surgical Treatment

Cited by 2 publications

References 11 publications

Primary aortoduodenal fistula caused by Salmonella aortitis

Primary aortoduodenal fistula caused by Salmonella aortitis

Salmonella aortitis. A report of a successfully treated case with a comprehensive review of the literature

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