This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (15)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Diagnosis by Computed Tomography

Ibrahim M. Ibrahim, MD; Joseph S. Raccuia, MD; Joseph Micale, MD; Asham Zafar, MD

Arch Surg. 1989;124(7):870-871.

Abstract
• A primary fistula between the abdominal aorta and the duodenum is rare and usually fatal. Computed tomography in a symptomatic but stable patient enabled preoperative evaluation and even diagnosis of abnormal communications, real or incipient, between the vascular and enteric system. This case demonstrated the effectiveness, ease, and low cost of documenting a primary aortoduodenal fistula. Surgical results were ultimately improved by initiating early intervention and aggressive management. Therapeutic principles included early intervention with aneurysmectomy, duodenorrhaphy, and extra-anatomic bypass. Anatomic graft placement may be acceptable in selected cases.

(Arch Surg 1989;124:870-871)

Author Affiliations
From the Department of Surgery, The Englewood (NJ) Hospital (Drs Ibrahim and Raccuia), and the Department of Gastroenterology and Radiology, Palisades General Hospital, North Bergen, NJ (Drs Micale and Zafar).

Footnotes
Accepted for publication April 14, 1988.

Reprint requests to Department of Surgery, The Englewood Hospital, 305 Engle St, Englewood, NJ 07631 (Dr Raccuia).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Primary Aortoduodenal Fistula Masquerading as a Duodenal Tumor--Case Report
Wan Yee Lau and Arthur Kwok Cheung Li
VASC ENDOVASCULAR SURG 1991;25:126-130.
ABSTRACT