Aorto-duodenal fistula secondary to aortic graft replacement.

Autor:	Vandermeulen M; Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Department of Hepato-Biliary and Pancreatic Surgery, Pitié-Salpêtrière University Hospital, Paris, France.; Division of Abdominal Surgery and Transplantation, 1 boulevard de l'hôpital 4000 Liege, University of Liege Hospital (CHU ULiege), Liège, Belgium, Belgique., Verscheure D; Department of Vascular Surgery, Pitié-Salpêtrière University Hospital, 47-83 boulevard de l'Hôpital, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France., Genser L; Sorbonne Université, Assistance Publique-Hôpitaux de Paris (AP-HP), Department of Hepato-Biliary and Pancreatic Surgery, Pitié-Salpêtrière University Hospital, Paris, France.; Sorbonne Université, INSERM, Nutrition and Obesity: Systemic Approach (NutriOmics) Research Unit, Paris, France.
Jazyk:	angličtina
Zdroj:	Acta chirurgica Belgica [Acta Chir Belg] 2022 Feb; Vol. 122 (1), pp. 74-75. Date of Electronic Publication: 2022 Jan 03.
DOI:	10.1080/00015458.2021.2021719
Abstrakt:	Secondary aorto-duodenal fistula (SADF) is a rare and serious event occurring in up to 45% of aortic prosthesis infections. The clinical manifestations are variable ranging from isolated signs of graft infection such as fever to massive gastrointestinal bleeding. The diagnosis is based on CT scan and is generally oriented by an inconstant association of indirect signs. Despite a high early severe postoperative morbidity and mortality, especially in presence of a preoperative shock, emergency surgery allows for the diagnosis and treatment of SADF with multidisciplinary management allowing favorable midterm outcomes among surviving patients. The images that we present in this manuscript highlight some indirect signs of SADF on CT scan that should alert clinicians to warrant on time surgical management with an illustration of per operative diagnosis of the fistula.
Databáze:	MEDLINE
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