Aortoduodenal Fistula With IgG4-Related Periaortitis: A Case Report.
| Autor: | Shizuku T; Internal Medicine, US Naval Hospital Okinawa, Okinawa, JPN., Yamaguchi H; Rheumatology, Funabashi Municipal Medical Center, Funabashi, JPN. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Nov 07; Vol. 16 (11), pp. e73193. Date of Electronic Publication: 2024 Nov 07 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.73193 |
| Abstrakt: | A 77-year-old woman with a history of endovascular aneurysm repair (EVAR) for an abdominal aortic aneurysm (AAA) presented with melena. She had been recently diagnosed with IgG4-related periaortitis and started on prednisone. Physical examination revealed pallor conjunctiva and melena on the rectal examination, with laboratory results indicating anemia (hemoglobin: 7.4 g/dl). Abdominal CT showed air within the aneurysmal sac, and endoscopy confirmed an aortoduodenal fistula. The patient underwent urgent stent removal, vessel replacement, and duodenal repair. She recovered well and was discharged on day 30 with ongoing prednisone therapy. The risk of fistula formation in IgG4-related periaortitis necessitates careful monitoring, especially in patients with pre-existing aortic pathology. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Shizuku et al.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|