Document Detail


Computed tomography diagnosis of a primary aortoduodenal fistula in a patient with a partially thrombosed abdominal aortic aneurysm.
MedLine Citation:
PMID:  20799019     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Primary aortoenteric fistula is a rare but fatal cause of gastrointestinal bleeding and requires urgent intervention. A high index of clinical suspicion in conjunction with imaging is required because a favorable outcome relies on prompt diagnosis. The primary forms of aortoduodenal fistulas are nearly always associated with abdominal aortic aneurysm, mostly atherosclerotic. Technological advances in imaging, particularly computed tomography (CT), play a pivotal role in the preoperative detection of these fistulas. We report the case of a 76-year-old man who was diagnosed with a large abdominal aortic aneurysm with associated contained rupture and suggestion of an aortoduodenal fistula on CT. This case demonstrated the effectiveness, ease, and low cost of the preoperative evaluation and documentation of a primary aortoduodenal fistula using CT scans.
Authors:
Divya Shree; Sandeep Jeppu; Pulak Puneet; Kanchan Rani
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-08-27
Journal Detail:
Title:  Japanese journal of radiology     Volume:  28     ISSN:  1867-108X     ISO Abbreviation:  Jpn J Radiol     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-27     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101490689     Medline TA:  Jpn J Radiol     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  534-7     Citation Subset:  IM    
Affiliation:
Department of Radiology and Imaging, UFHT Medical College, Nainital, Uttrakhand, India. divya.pulakpuneet@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Aortic Aneurysm, Abdominal / complications,  radiography*,  surgery
Contrast Media / diagnostic use
Duodenal Diseases / complications,  radiography*,  surgery
Gastrointestinal Hemorrhage / etiology,  radiography*,  surgery
Humans
Intestinal Fistula / complications,  radiography*,  surgery
Male
Tomography, X-Ray Computed*
Vascular Fistula / complications,  radiography*,  surgery
Chemical
Reg. No./Substance:
0/Contrast Media

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