| Aortoduodenal Fistula Occurring
One Month after Operation for an Inflammatory Abdominal Aortic
Aneurysm |
(First Department of Surgery, Yokohama City University,
Yokohama, Japan)
| Takahiro Manabe |
Yukio Ichikawa |
Kiyotaka Imoto |
| Michio Tobe |
Ichiya Yamazaki |
Yoshimi Yano |
| Koichiro Date |
Jiro Kondo |
Yoshinori Takanashi |
|
A 61-year-old woman was admitted
with abdominal and low back pain. The patient underwent graft
replacement for inflammatory abdominal aortic aneurysm. One month
postoperatively, the patient fell into hypovolemic shock with
massive melena and hematemesis. Laparotomy and duodenotomy revealed
a fistula between the third portion of the duodenum and the distal
anastomosis of the vascular prosthesis. The fistula of the aorta
was repaired with omentopexy, gastrojejunostomy and Braun's anastomosis.
One month later, aortoduodenal fistula recurred. The vascular
prosthesis was partially removed and the aorta was closed at
the infrarenal level. After the closure of the posterior duodenal
defect, a left axillo-femoral bypass was constructed. She fully
recovered and discharged.
Jpn. J. Cardiovasc. Surg. 30: 200-202 (2001) |
|
