Open AccessPrimary aortoduodenal fistula with a history of distal gastrectomy
Author(s) -
Inoue Kentaro,
Fukunaga Ryota,
Matsubara Yutaka,
Aoyagi Yukihiko,
Matsuda Daisuke,
Kyuragi Ryoichi,
Morisaki Koichi,
Matsumoto Takuya,
Oki Eiji,
Maehara Yoshihiko
Publication year - 2017
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.224
Subject(s) - medicine , surgery , gastrectomy , shock (circulatory) , fistula , malnutrition , general surgery , radiology , cancer
Case A 69‐year‐old man was transferred to our hospital because of an aortoduodenal fistula with hematemesis and pre‐shock vital signs. He had a history of alcoholism, malnutrition, and distal gastrectomy and Billroth I reconstruction. Endovascular aneurysm repair was successfully carried out; however, the presence of comorbidities affected further radical treatment. Outcome The patient survived for 2 months postoperatively. Conclusion Endovascular aneurysm repair is a useful first‐line treatment for high‐risk aortoduodenal fistula patients; however, it requires improvement for long‐term outcomes in complicated high‐risk cases.