{"title":"The Challenges of diagnosing and managing a ruptured abdominal aortic aneurysm with primary aortoduodenal fistula.","authors":"Greg Howgego, D. Howard","doi":"10.37707/jnds.v2i3.108","DOIUrl":null,"url":null,"abstract":"Primary aortoduodenal fistula is a rare and highly morbid complication of an abdominal aortic aneurism (AAA). Patient X presented with a ruptured AAA complicated by a primary aortoduodenal fistula in 2016 which was treated surgically but has since suffered from repeated admissions due to sepsis as a result of ongoing graft infections. \nThe diagnosis of aortoduodenal fistula is complicated with no imaging technique providing a definitive diagnosis meaning that maintaining clinical suspicion is important. There is a paucity of evidence regarding how to surgically approach the repair of an aortoduodenal fistula, although there is a shift towards multiple-step procedures in elective repair.","PeriodicalId":184356,"journal":{"name":"Journal of the Nuffield Department of Surgical Sciences","volume":"71 3","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Nuffield Department of Surgical Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.37707/jnds.v2i3.108","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
Abstract
Primary aortoduodenal fistula is a rare and highly morbid complication of an abdominal aortic aneurism (AAA). Patient X presented with a ruptured AAA complicated by a primary aortoduodenal fistula in 2016 which was treated surgically but has since suffered from repeated admissions due to sepsis as a result of ongoing graft infections.
The diagnosis of aortoduodenal fistula is complicated with no imaging technique providing a definitive diagnosis meaning that maintaining clinical suspicion is important. There is a paucity of evidence regarding how to surgically approach the repair of an aortoduodenal fistula, although there is a shift towards multiple-step procedures in elective repair.