Aortoduodenal fistula following aortic reconstruction of a pseudoaneurysm caused by stab wound 12 years ago |
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| Authors: | Jian-cang Zhou Qiu-ping Xu Lai-gen Shen Kong-han Pan Yi-ping Mou |
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| Institution: | (1) Department of Critical Care Medicine, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, 310016, China;(2) Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, 310016, China |
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| Abstract: | Gastrointestinal bleeding due to aortoenteric fistula is extremely rare. Aortoenteric fistula is difficult to be diagnosed timely and entails a significant morbidity and mortality. Herein, we present an uncommon case of gastrointestinal bleeding caused by aortoduodenal fistula, which was a complication of a successful aortic reconstruction 4 months ago for an aortic pseudoaneurysm resulted from a stab wound 12 years ago. An urgent laparotomy confirmed an aortoduodenal fistula and repaired the defects in aorta and duodenum, but a prolonged shock led to the patient's death. In summary, early diagnosis and surgical intervention for aortoenteric fistula are vital for survival. |
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| Keywords: | Aortoduodenal fistula Aortic pseudoaneurysm Aortic reconstruction Stab wound |
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