Primary Aortoduodenal Fistula: A Case Report and Current Literature Review. Ann Vasc Surg 2021 Jul;74:518.e13-518.e23
Date
02/08/2021Pubmed ID
33549801DOI
10.1016/j.avsg.2020.12.046Scopus ID
2-s2.0-85101598695 (requires institutional sign-in at Scopus site) 8 CitationsAbstract
Primary aortoduodenal fistula is a rare, life-threatening pathology that is difficult to diagnose and manage. We present the case of a 64-year-old male with a primary aortoduodenal fistula. Our patient initially underwent an endovascular aneurysm repair at an outside institution before being transferred to our tertiary care center, where he ultimately had definitive management with an extra-anatomic bypass, aortic ligation, duodenal resection with primary anastomosis, and gastrojejunostomy tube placement. His surgical cultures grew Candida albicans, and he was discharged with a 6-week course of intravenous antibiotics with subsequent antibiotic suppression for 1 year. He died 14 months postoperatively from tongue squamous cell carcinoma. We also review the current literature regarding epidemiology, pathology, diagnostics, management, and case reports from 2015 to present. Overall, timely diagnosis and treatment is imperative for reducing mortality from primary aortoduodenal fistula, and although formal consensus is lacking regarding most clinical aspects, an increasing number of case reports has helped describe options for management.
Author List
Georgeades C, Zarb R, Lake Z, Wood J, Lewis BAuthor
Brian D. Lewis MD Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAged
Aged, 80 and over
Aneurysm, False
Aneurysm, Infected
Anti-Bacterial Agents
Aortic Aneurysm, Abdominal
Aortic Diseases
Digestive System Surgical Procedures
Duodenal Diseases
Female
Humans
Intestinal Fistula
Male
Middle Aged
Treatment Outcome
Vascular Fistula
Vascular Surgical Procedures
