Skip to main content
Top
Published in: Annals of Vascular Surgery 4/2006

01-07-2006 | Case Reports

Primary Aortoduodenal Fistula without Abdominal Aortic Aneurysm in Association with Psoas Abscess

Authors: Chris Klonaris, MD, George Vourliotakis, MD, Athanasios Katsargyris, MD, Sotirios Tsiodras, MD, Elias Bastounis, MD

Published in: Annals of Vascular Surgery | Issue 4/2006

Login to get access

Abstract

Primary aortoenteric fistula (PAEF) is a communication between the aorta and the enteric tract without any previous vascular intervention, e.g., aortic grafting. Although rare, PAEF is a potentially lethal condition that requires a high index of suspicion and prompt surgical intervention. Most of the reported cases involve an abdominal aortic aneurysm. However, in this report, we describe a rare case of a primary aortoduodenal fistula in a nonaneurysmal aorta in association with a psoas abscess, which was treated successfully. At 2-year follow-up, the patient is alive without episodes of bleeding or fever.
Literature
1.
go back to reference Cumpa EA, Stevens R, Hodgson K, Castro F. Primary aortoenteric fistula. South Med J 2002;95:1071–1075PubMed Cumpa EA, Stevens R, Hodgson K, Castro F. Primary aortoenteric fistula. South Med J 2002;95:1071–1075PubMed
2.
go back to reference Lemos DW, Raffetto JD, Moore TC, Menzoian JO. Primary aortoduodenal fistula: a case report and review of the literature. J Vasc Surg 2003;37:686–689PubMedCrossRef Lemos DW, Raffetto JD, Moore TC, Menzoian JO. Primary aortoduodenal fistula: a case report and review of the literature. J Vasc Surg 2003;37:686–689PubMedCrossRef
3.
go back to reference Heberer A. Diagnosis and treatment of aneurysms of the abdominal aorta. Geriatr Med Monatchr 1957;2:203 Heberer A. Diagnosis and treatment of aneurysms of the abdominal aorta. Geriatr Med Monatchr 1957;2:203
4.
go back to reference Taheri SA, Kulaylat MN, Grippi J, Ricotta JJ, Kale J, Bernhard H. Surgical treatment of primary aortoduodenal fistula. Ann Vasc Surg 1991;5:265–270PubMedCrossRef Taheri SA, Kulaylat MN, Grippi J, Ricotta JJ, Kale J, Bernhard H. Surgical treatment of primary aortoduodenal fistula. Ann Vasc Surg 1991;5:265–270PubMedCrossRef
5.
go back to reference Tareen AH, Schroeder TV. Primary aortoenteric fistula: two new case reports and a review of 44 previously reported cases. Eur J Vasc Endovasc Surg 1996;12:5–10PubMedCrossRef Tareen AH, Schroeder TV. Primary aortoenteric fistula: two new case reports and a review of 44 previously reported cases. Eur J Vasc Endovasc Surg 1996;12:5–10PubMedCrossRef
6.
go back to reference Dossa CD, Pipinos II, Shepard AD, Ernst CB. Primary aortoenteric fistula: Part I. Ann Vasc Surg 1994;8:113–120PubMedCrossRef Dossa CD, Pipinos II, Shepard AD, Ernst CB. Primary aortoenteric fistula: Part I. Ann Vasc Surg 1994;8:113–120PubMedCrossRef
7.
go back to reference Farber A, Grigoryants V, Palac DM, Chapman T, Cronenwett JL, Powell RJ. Primary aortoduodenal fistula in a patient with a history of intravesical therapy for bladder cancer with bacillus Calmette-Guerin: review of primary aortoduodenal fistula without abdominal aortic aneurysm. J Vasc Surg 2001;33:868–873PubMedCrossRef Farber A, Grigoryants V, Palac DM, Chapman T, Cronenwett JL, Powell RJ. Primary aortoduodenal fistula in a patient with a history of intravesical therapy for bladder cancer with bacillus Calmette-Guerin: review of primary aortoduodenal fistula without abdominal aortic aneurysm. J Vasc Surg 2001;33:868–873PubMedCrossRef
8.
go back to reference Odze RD, Begin LR. Peptic ulcer-induced aortoenteric fistula. J Clin Gastroenterol 1991;13:682–686PubMedCrossRef Odze RD, Begin LR. Peptic ulcer-induced aortoenteric fistula. J Clin Gastroenterol 1991;13:682–686PubMedCrossRef
9.
go back to reference Dash PM. Perforation of a duodenal ulcer into the aorta. Br Med J 1940;1:570CrossRef Dash PM. Perforation of a duodenal ulcer into the aorta. Br Med J 1940;1:570CrossRef
10.
go back to reference Lagrand WK, Hoogendoorn M, Bakker K, te Velde J, Labrie A. Aortoduodenal fistula as an unusual and fatal manifestation of giant-cell arteritits. Eur J Vasc Endovasc Surg 1996;11:502–503PubMedCrossRef Lagrand WK, Hoogendoorn M, Bakker K, te Velde J, Labrie A. Aortoduodenal fistula as an unusual and fatal manifestation of giant-cell arteritits. Eur J Vasc Endovasc Surg 1996;11:502–503PubMedCrossRef
11.
go back to reference Frizelle FA, Hung NA, Heslop JH, Parry BR. Obscure gastrointestinal bleeding: idiopathic aortoduodenal fistula. J R Coll Surg Edinb 1991;36:331–333PubMed Frizelle FA, Hung NA, Heslop JH, Parry BR. Obscure gastrointestinal bleeding: idiopathic aortoduodenal fistula. J R Coll Surg Edinb 1991;36:331–333PubMed
12.
go back to reference Calligaro KD, Bergen WS, Savarese RP, Westcott CJ, Azurin DJ, DeLaurentis DA. Primary aortoduodenal fistula due to septic aortitis. J Cardiovasc Surg 1992;33:192–198 Calligaro KD, Bergen WS, Savarese RP, Westcott CJ, Azurin DJ, DeLaurentis DA. Primary aortoduodenal fistula due to septic aortitis. J Cardiovasc Surg 1992;33:192–198
13.
go back to reference Goenka MK, Mehta SK, Kochhar R, et al. Primary aortoduodenal fistula in a 23 year old man without an associated aortic aneurysm. Eur J Surg 1993;159:371–372PubMed Goenka MK, Mehta SK, Kochhar R, et al. Primary aortoduodenal fistula in a 23 year old man without an associated aortic aneurysm. Eur J Surg 1993;159:371–372PubMed
14.
go back to reference Estrada FP, Tachovsky TJ, Orr RM, Boylan JJ, Kram BW. Primary aortoduodenal fistula following radiotherapy. Surg Gynecol Obstet 1983;156:646–650PubMed Estrada FP, Tachovsky TJ, Orr RM, Boylan JJ, Kram BW. Primary aortoduodenal fistula following radiotherapy. Surg Gynecol Obstet 1983;156:646–650PubMed
15.
go back to reference Thongngarm T, McMurray RW. Primary psoa abscess. Ann Rheum Dis 2001;2:173–174CrossRef Thongngarm T, McMurray RW. Primary psoa abscess. Ann Rheum Dis 2001;2:173–174CrossRef
Metadata
Title
Primary Aortoduodenal Fistula without Abdominal Aortic Aneurysm in Association with Psoas Abscess
Authors
Chris Klonaris, MD
George Vourliotakis, MD
Athanasios Katsargyris, MD
Sotirios Tsiodras, MD
Elias Bastounis, MD
Publication date
01-07-2006
Publisher
Springer-Verlag
Published in
Annals of Vascular Surgery / Issue 4/2006
Print ISSN: 0890-5096
Electronic ISSN: 1615-5947
DOI
https://doi.org/10.1007/s10016-006-9039-6

Other articles of this Issue 4/2006

Annals of Vascular Surgery 4/2006 Go to the issue

Papers Presented to the Peripheral Vascular Surgery Society—Winter Meeting

Endovascular Treatment of Complicated Aortic Aneurysms in Patients with Underlying Arteriopathies

Papers Presented to the Peripheral Vascular Surgery Society—Winter Meeting

Carotid Body Tumor Resection: Does the Need for Vascular Reconstruction Worsen Outcome?