Primary Aortoduodenal Fistula: First you Should Suspect it

Detalhes bibliográficos
Autor(a) principal: Beuran,Mircea
Data de Publicação: 2016
Outros Autores: Negoi,Ionut, Negoi,Ruxandra Irina, Hostiuc,Sorin, Paun,Sorin
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Cardiovascular Surgery (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000300261
Resumo: ABSTRACT A 59 year-old patient was admitted with upper gastrointestinal bleeding. The clinical exam showed mild hypotension and blood samples revealed acute anemia (hemoglobin = 7.5 g/dl). Emergency computed tomography showed an infrarenal abdominal aortic aneurysm and extravasation of the arterial contrast material toward the digestive tract. The patient was transported to the operating room for emergency laparotomy, which showed an aortoduodenal fistula. After proximal and distal aortic vascular control, the two anatomical structures were dissected with duodenorrhaphy, patch repair of the aortic tear and omentum interposition. The postoperative recovery was uneventful, with discharge after 12 days.
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spelling Primary Aortoduodenal Fistula: First you Should Suspect itAorta, AbdominalDuodenumDigestive System FistulaABSTRACT A 59 year-old patient was admitted with upper gastrointestinal bleeding. The clinical exam showed mild hypotension and blood samples revealed acute anemia (hemoglobin = 7.5 g/dl). Emergency computed tomography showed an infrarenal abdominal aortic aneurysm and extravasation of the arterial contrast material toward the digestive tract. The patient was transported to the operating room for emergency laparotomy, which showed an aortoduodenal fistula. After proximal and distal aortic vascular control, the two anatomical structures were dissected with duodenorrhaphy, patch repair of the aortic tear and omentum interposition. The postoperative recovery was uneventful, with discharge after 12 days.Sociedade Brasileira de Cirurgia Cardiovascular2016-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000300261Brazilian Journal of Cardiovascular Surgery v.31 n.3 2016reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.5935/1678-9741.20160049info:eu-repo/semantics/openAccessBeuran,MirceaNegoi,IonutNegoi,Ruxandra IrinaHostiuc,SorinPaun,Sorineng2016-10-04T00:00:00Zoai:scielo:S0102-76382016000300261Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2016-10-04T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false
dc.title.none.fl_str_mv Primary Aortoduodenal Fistula: First you Should Suspect it
title Primary Aortoduodenal Fistula: First you Should Suspect it
spellingShingle Primary Aortoduodenal Fistula: First you Should Suspect it
Beuran,Mircea
Aorta, Abdominal
Duodenum
Digestive System Fistula
title_short Primary Aortoduodenal Fistula: First you Should Suspect it
title_full Primary Aortoduodenal Fistula: First you Should Suspect it
title_fullStr Primary Aortoduodenal Fistula: First you Should Suspect it
title_full_unstemmed Primary Aortoduodenal Fistula: First you Should Suspect it
title_sort Primary Aortoduodenal Fistula: First you Should Suspect it
author Beuran,Mircea
author_facet Beuran,Mircea
Negoi,Ionut
Negoi,Ruxandra Irina
Hostiuc,Sorin
Paun,Sorin
author_role author
author2 Negoi,Ionut
Negoi,Ruxandra Irina
Hostiuc,Sorin
Paun,Sorin
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Beuran,Mircea
Negoi,Ionut
Negoi,Ruxandra Irina
Hostiuc,Sorin
Paun,Sorin
dc.subject.por.fl_str_mv Aorta, Abdominal
Duodenum
Digestive System Fistula
topic Aorta, Abdominal
Duodenum
Digestive System Fistula
description ABSTRACT A 59 year-old patient was admitted with upper gastrointestinal bleeding. The clinical exam showed mild hypotension and blood samples revealed acute anemia (hemoglobin = 7.5 g/dl). Emergency computed tomography showed an infrarenal abdominal aortic aneurysm and extravasation of the arterial contrast material toward the digestive tract. The patient was transported to the operating room for emergency laparotomy, which showed an aortoduodenal fistula. After proximal and distal aortic vascular control, the two anatomical structures were dissected with duodenorrhaphy, patch repair of the aortic tear and omentum interposition. The postoperative recovery was uneventful, with discharge after 12 days.
publishDate 2016
dc.date.none.fl_str_mv 2016-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000300261
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000300261
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/1678-9741.20160049
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
dc.source.none.fl_str_mv Brazilian Journal of Cardiovascular Surgery v.31 n.3 2016
reponame:Brazilian Journal of Cardiovascular Surgery (Online)
instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron:SBCCV
instname_str Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron_str SBCCV
institution SBCCV
reponame_str Brazilian Journal of Cardiovascular Surgery (Online)
collection Brazilian Journal of Cardiovascular Surgery (Online)
repository.name.fl_str_mv Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
repository.mail.fl_str_mv ||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br
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