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International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

     
Case Report
 
Aortoduodenal fistula after transperitoneal repair of an inflammatory abdominal aortic aneurysm: A case report
Denise MD Özdemir-van Brunschot1, Giel G Koning1, J Adam van der Vliet1
1Department of Surgery, Division of Vascular and Transplant Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.

doi:10.5348/ijcri-2014109-CR-10420

Address correspondence to:
Denise MD Özdemir- van Brunschot
Department of Surgery, Division of Vascular- and Transplant Surgery
Radboudumc Geert Grooteplein-Zuid 10
6525 GA Nijmegen
The Netherlands
Email: denise.ozdemir-vanbrunschot@radboudumc.nl

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How to cite this article
Özdemir- van Brunschot DD, Koning GG, vd Vliet JA. Aortoduodenal fistula after transperitoneal repair of an inflammatory abdominal aortic aneurysm: A case report. Int J Case Rep Images 2014;5(9):619–624.


Abstract
Introduction: An aortoduodenal fistula is a potentially lethal complication after transperitoneal open repair of an abdominal aortic aneurysm.
Case Report: A 77-year-old Caucasian male who underwent a conventional repair of an inflammatory infrarenal aortic aneurysm, was readmitted with hematemesis only six weeks after surgery. Gastroscopy and computed tomography angiography indicated an aortoduodenal fistula and urgent aortic reconstruction was performed. An aortoduodenal fistula is a potentially lethal complication after transperitoneal open repair of an abdominal aortic aneurysm.
Conclusion: An aortoduodenal fistula seldom occurs as early after conventional transperitoneal open aneurysm repair as in our case. The early occurrence of the aortoduodenal fistula can be explained by the inflammatory character of the aneurysm.

Keywords: Aortoenteric, Aortoduodenal fistula, Conventional abdominal aortic aneurysm repair, Abdominal, Aneurysm, Inflammatory, Nevelsteen procedure


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Author Contributions
Denise MD Özdemir-van Brunschot – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Giel G Koning – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
J Adam van der Vliet – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Denise MD Özdemir-van Brunschot et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

D.M.D. Özdemir-van Brunschot is a PhD Student at the Department of Surgery, Radboudumc, Nijmegen, The Netherlands.



G.G. Koning is a Vascular Surgeon at the Department of Surgery, Radboudumc, Nijmegen, The Netherlands.



J. Adam van der Vliet is a Vascular Surgeon at the Department of Surgery, Radboudumc, Nijmegen, The Netherlands.




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