Primary aortoduodenal fistula with a history of distal gastrectomy
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Kentaro Inoue1, Ryota Fukunaga1, Yutaka Matsubara1
1Department of Surgery and Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
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.
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