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Journal of Zhejiang University SCIENCE B 2009 Vol.10 No.5 P.400~403

doi: 10.1631/jzus.B0820231


Aortoduodenal fistula following aortic reconstruction of a pseudoaneurysm caused by stab wound 12 years ago


Author(s):  Jian-cang ZHOU, Qiu-ping XU, Lai-gen SHEN, Kong-han PAN, Yi-ping MOU

Affiliation(s):  1.Department of Critical Care Medicine, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China; Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China

Corresponding email(s):  jiancangzhou@hotmail.com

Key Words:  Aortoduodenal fistula, Aortic pseudoaneurysm, Aortic reconstruction, Stab wound


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Jian-cang ZHOU, Qiu-ping XU, Lai-gen SHEN, Kong-han PAN, Yi-ping MOU. Aortoduodenal fistula following aortic reconstruction of a pseudoaneurysm caused by stab wound 12 years ago[J]. Journal of Zhejiang University Science B, 2009, 11(10): 400~403.

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A1 - Yi-ping MOU
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Abstract: 
Gastrointestinal bleeding due to aortoenteric fistula is extremely rare. Aortoenteric fistula is difficult to be diagnosed timely and entails a significant morbidity and mortality. Herein, we present an uncommon case of gastrointestinal bleeding caused by aortoduodenal fistula, which was a complication of a successful aortic reconstruction 4 months ago for an aortic pseudoaneurysm resulted from a stab wound 12 years ago. An urgent laparotomy confirmed an aortoduodenal fistula and repaired the defects in aorta and duodenum, but a prolonged shock led to the patient’s death. In summary, early diagnosis and surgical intervention for aortoenteric fistula are vital for survival.

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

Reference

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