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Aortoduodenal syndrome.
H Takagi1, T Watanabe, T Umemoto
1Department of Cardiovascular Surgery, Shizuoka Medical Center, Shizuoka, Japan - kfgth973@ybb.ne.jp.
International Angiology : a Journal of the International Union of Angiology
|September 13, 2014
Summary
Aortoduodenal syndrome, a rare duodenal obstruction caused by abdominal aortic aneurysms, presents unique diagnostic challenges. This review analyzes 21 reported cases, highlighting key patient demographics and aneurysm characteristics.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Medical Case Reviews
Background:
- Aortoduodenal syndrome, characterized by duodenal obstruction secondary to abdominal aortic aneurysms (AAA), is an exceptionally rare condition.
- First described by Osler in 1905, only a limited number of cases have been documented in medical literature.
- Distinguishing aortoduodenal syndrome from other conditions, such as superior mesenteric artery syndrome associated with AAA, is clinically significant.
Purpose of the Study:
- To systematically review and synthesize existing literature on aortoduodenal syndrome.
- To delineate the clinical presentation, patient demographics, and aneurysm characteristics of individuals with this rare condition.
- To clarify diagnostic considerations, particularly differentiating it from superior mesenteric artery syndrome in the context of AAA.
Main Methods:
- A comprehensive literature search was conducted using MEDLINE and EMBASE databases.
- Searches covered the period from January 1981 to April 2014.
- Relevant studies were identified via PubMed and OVID, and case reports were systematically reviewed.
Main Results:
- Eighteen papers reporting a total of 21 cases of aortoduodenal syndrome were identified and analyzed.
- The mean age of affected patients was 74.5 years (±8.4).
- The majority of patients were male (71.4%), with an average AAA diameter of 7.2 cm (±2.1).
Conclusions:
- Aortoduodenal syndrome is a rare but critical complication of abdominal aortic aneurysms.
- Understanding the specific features of these cases aids in diagnosis and management.
- Further research may be warranted to better define diagnostic criteria and treatment strategies for this uncommon syndrome.
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