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Autor principal: Mircea Beuran
Formato: Artículo científico
Lenguaje:en
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2016
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Acceso en línea:https://www.redalyc.org/articulo.oa?id=398947807011
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  • Primary Aortoduodenal Fistula: First you Should Suspect it Mircea Beuran Ionut Negoi Ruxandra Irina Negoi Sorin Hostiuc Sorin Paun Medicina Aorta Duodenum Abdominal Digestive System Fistula A 59 year-old patient was admitted with upper gastrointestinal bleeding. The clinical exam showed mild hypotension and blood samples revealed acute anemia (hemoglobin = 7.5 g/ dl). Emergency computed tomography showed an infrarenal abdominal aortic aneurysm and extravasation of the arterial contrast material toward the digestive tract. The patient was transported to the operating room for emergency laparotomy, which showed an aortoduodenal fistula. After proximal and distal aortic vascular control, the two anatomical structures were dissected with duodenorrhaphy, patch repair of the aortic tear and omentum interposition. The postoperative recovery was uneventful, with discharge after 12 days. 2016 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398947807011 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.3 Vol.31