TY - JOUR
T1 - An endoluminal aortic prosthesis infection presenting as pneumoaorta and aortoduodenal fistula
AU - Kao, Yung Ta
AU - Shih, Chun-Ming
AU - Lin, Feng-Yen
AU - Tsao, Nai-Wen
AU - Chang, Nen-Chung
AU - Huang, Chun-Yao
PY - 2012
Y1 - 2012
N2 - Herein, we present a case of pneumoaorta and aortoduodenal fistula (ADF) caused by an endoluminal aortic prosthesis infection. An 82-year-old man underwent endovascular aneurysm repair with a stent graft to exclude a 5.1-cm abdominal aortic aneurysm. Three months after the index procedure, the patient was taken to the emergency department at a medical university hospital. He presented with a 2-d history of bloody diarrhea. An endoluminal aortic stent graft infection was diagnosed, and an ADF was identified. The patient died of septic shock despite emergency surgery and intensive care. When encountered, stent graft infections require appropriate antibiotics and graft explantation. The diagnosis of an ADF is important, and surgery remains the most effective management if septic shock presents despite conservative treatment.
AB - Herein, we present a case of pneumoaorta and aortoduodenal fistula (ADF) caused by an endoluminal aortic prosthesis infection. An 82-year-old man underwent endovascular aneurysm repair with a stent graft to exclude a 5.1-cm abdominal aortic aneurysm. Three months after the index procedure, the patient was taken to the emergency department at a medical university hospital. He presented with a 2-d history of bloody diarrhea. An endoluminal aortic stent graft infection was diagnosed, and an ADF was identified. The patient died of septic shock despite emergency surgery and intensive care. When encountered, stent graft infections require appropriate antibiotics and graft explantation. The diagnosis of an ADF is important, and surgery remains the most effective management if septic shock presents despite conservative treatment.
KW - Aortoduodenal fistula
KW - Endovascular aneurysm repair
KW - Infection
KW - Shock
KW - Stent graft
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U2 - 10.3748/wjg.v18.i37.5309
DO - 10.3748/wjg.v18.i37.5309
M3 - Article
C2 - 23066329
AN - SCOPUS:84867835629
SN - 1007-9327
VL - 18
SP - 5309
EP - 5311
JO - World Journal of Gastroenterology
JF - World Journal of Gastroenterology
IS - 37
ER -