Duodenal obstruction as the presenting symptom of aortic aneurysm

Two patients with duodenal obstruction as the presenting symptom of an abdominal aortic aneurysm are reported. The increasing frequency of aortic aneurysm in an ageing population may make this rare cause of duodenal obstruction more common. Vomiting, abdominal pain, and weight loss are the common presenting, symptoms. This report includes only the third successful aortic replacement in these patients. Upper gastrointestinal examination with contrast and endoscopy and computerized tomography scan of the abdomen are considered the most relevant investigations.