Display options
Cite
Tsujimoto T, Hirai T, Kitaoka H, et al. Secondary aortoduodenal fistula identified by ultrasonography. J Med Ultrason (2001). 2011;38(3):161-5doi: 10.1007/s10396-011-0301-3.
Tsujimoto, T., Hirai, T., Kitaoka, H., Hata, M., Nishio, K., Okuchi, K., Yamashita, N., Yoshida, M., Fujii, H., & Fukui, H. (2011). Secondary aortoduodenal fistula identified by ultrasonography. Journal of medical ultrasonics (2001), 38(3), 161-5. https://doi.org/10.1007/s10396-011-0301-3
Tsujimoto, Tatsuhiro, et al. "Secondary aortoduodenal fistula identified by ultrasonography." Journal of medical ultrasonics (2001) vol. 38,3 (2011): 161-5. doi: https://doi.org/10.1007/s10396-011-0301-3
Tsujimoto T, Hirai T, Kitaoka H, Hata M, Nishio K, Okuchi K, Yamashita N, Yoshida M, Fujii H, Fukui H. Secondary aortoduodenal fistula identified by ultrasonography. J Med Ultrason (2001). 2011 Jul;38(3):161-5. doi: 10.1007/s10396-011-0301-3. Epub 2011 Mar 26. PMID: 27278504.
Copy Download .nbib Format: NLM
Share it on

J Med Ultrason (2001). 2011 Jul;38(3):161-5. doi: 10.1007/s10396-011-0301-3. Epub 2011 Mar 26.

Secondary aortoduodenal fistula identified by ultrasonography.

Journal of medical ultrasonics (2001)

Tatsuhiro Tsujimoto, Toshiko Hirai, Hironori Kitaoka, Michiaki Hata, Kenji Nishio, Kazuo Okuchi, Namiko Yamashita, Misuzu Yoshida, Hisao Fujii, Hiroshi Fukui

Affiliations

  1. Department of Endoscopy and Ultrasound, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan. [email protected].
  2. Department of Endoscopy and Ultrasound, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.
  3. Department of Emergency and Critical Care Medicine, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.

PMID: 27278504 DOI: 10.1007/s10396-011-0301-3

Abstract

A 73-year-old man underwent coronary artery bypass grafting, abdominal aortic aneurysm resection, and prosthetic implantation as a single procedure in 2002. His progress was favorable until April 2008, when he was admitted to our hospital with melena. B-mode ultrasonography revealed a 5-mm defect in the abdominal aorta at the graft anastomosis, and an umbilicated lesion was seen projecting between the posterior wall of the third part of the duodenum and the abdominal aorta. A color signal was noticed at this site on color Doppler ultrasonography, leading to the diagnosis of a secondary aortoduodenal fistula (ADF). We resected the inflammatory mass comprising the graft and the third part of the duodenum, and performed prosthetic re-implantation, omentopexy, and duodenojejunostomy. We could not find any previous reports of successful identification of secondary ADF using ultrasonography. When a patient with gastrointestinal hemorrhage following reconstructive aortic surgery is encountered in the emergency department, ultrasonography may be considered to be a useful modality in the diagnosis of secondary ADF.

Keywords: Abdominal aortic aneurysm; Aortoduodenal fistula; Ultrasonography

References

  1. Dig Dis Sci. 1979 Dec;24(12):940-4 - PubMed
  2. J Cardiovasc Surg (Torino). 1997 Oct;38(5):457-64 - PubMed
  3. Radiographics. 2009 Jan-Feb;29(1):197-209 - PubMed
  4. Acta Gastroenterol Belg. 2008 Apr-Jun;71(2):250-8 - PubMed
  5. World J Gastroenterol. 2008 Oct 21;14 (39):6087-92 - PubMed
  6. Am Fam Physician. 1992 Jun;45(6):2610-6 - PubMed
  7. Semin Vasc Surg. 2001 Dec;14(4):302-11 - PubMed
  8. J Vasc Interv Radiol. 2006 Mar;17 (3):563-7 - PubMed
  9. J Gastroenterol. 2003;38(1):82-6 - PubMed

Publication Types