Document Detail


Primary aortoduodenal fistula treated successfully with surgery in a patient with Takayasu's arteritis.
MedLine Citation:
PMID:  10688426     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Takayasu's arteritis was originally described as a systemic inflammatory arterial disease presenting with occlusive changes. However, it has also been known to cause aneurysm formation. In this report, a patient with Takayasu's arteritis was found to have an aortoduodenal fistula. An emergency operation was carried out with resection of the saccular aneurysm and the fistula. The aorta was reconstructed with a prosthetic graft and the duodenum repaired. A pedicled omental flap was placed between the aorta and the duodenum. The postoperative recovery was uneventful, there was no evidence of persistent bleeding, and the patient was well at the 3-year follow-up. This is the first case in the English language literature of a primary aortoduodenal fistula treated successfully with surgery in a patient with Takayasu's arteritis.
Authors:
S Shindo; O Suzuki; K Kamiya; Y Tada
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International angiology : a journal of the International Union of Angiology     Volume:  18     ISSN:  0392-9590     ISO Abbreviation:  Int Angiol     Publication Date:  1999 Sep 
Date Detail:
Created Date:  2000-04-05     Completed Date:  2000-04-05     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8402693     Medline TA:  Int Angiol     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  244-6     Citation Subset:  IM    
Affiliation:
Second Department of Surgery, Yamanashi Medical University, Nakakoma-gun, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aortic Diseases / etiology,  surgery*
Blood Vessel Prosthesis Implantation
Duodenal Diseases / etiology,  surgery*
Emergencies
Female
Humans
Intestinal Fistula / etiology,  surgery*
Surgical Flaps
Takayasu Arteritis / complications*
Treatment Outcome
Vascular Fistula / etiology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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