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ZJUS-B
Journal of Zhejiang University-SCIENCE B (Biomedicine & Biotechnology)  2009, Vol. 10 Issue (5): 400-403    DOI: 10.1631/jzus.B0820231
Biomedicine     
Aortoduodenal fistula following aortic reconstruction of a pseudoaneurysm caused by stab wound 12 years ago
Jian-cang ZHOU, Qiu-ping XU, Lai-gen SHEN, Kong-han PAN, Yi-ping MOU
Department of Critical Care Medicine, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China; Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China
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Abstract  Gastrointestinal bleeding due to aortoenteric fistula is extremely rare. Aortoenteric fistula is difficult to be diagnosed timely and entails a significant morbidity and mortality. Herein, we present an uncommon case of gastrointestinal bleeding caused by aortoduodenal fistula, which was a complication of a successful aortic reconstruction 4 months ago for an aortic pseudoaneurysm resulted from a stab wound 12 years ago. An urgent laparotomy confirmed an aortoduodenal fistula and repaired the defects in aorta and duodenum, but a prolonged shock led to the patient’s death. In summary, early diagnosis and surgical intervention for aortoenteric fistula are vital for survival.

Key words： Aortoduodenal fistula      Aortic pseudoaneurysm      Aortic reconstruction      Stab wound     
Received: 30 July 2008     
CLC:  R57  
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Jian-cang ZHOU
Qiu-ping XU
Lai-gen SHEN
Kong-han PAN
Yi-ping MOU
Cite this article:

Jian-cang ZHOU, Qiu-ping XU, Lai-gen SHEN, Kong-han PAN, Yi-ping MOU. Aortoduodenal fistula following aortic reconstruction of a pseudoaneurysm caused by stab wound 12 years ago. Journal of Zhejiang University-SCIENCE B (Biomedicine & Biotechnology), 2009, 10(5): 400-403.

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http://www.zjujournals.com/xueshu/zjus-b/10.1631/jzus.B0820231     OR     http://www.zjujournals.com/xueshu/zjus-b/Y2009/V10/I5/400

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