SUCCESSFUL SURGICAL-MANAGEMENT OF AN ABDOMINAL AORTIC-ANEURYSM WITH ACUTE AORTODUODENAL FISTULA - A CASE-REPORT

A primary aortoduodenal fistula is a rare complication of atherosclero tic abdominal aortic aneurysm (AAA). The operative mortality is very h igh, because of lack of a precise preoperative diagnosis and contamina tion of the operative field. The authors report a case of a sixty-five -year-old man with aortoduodenal fistula. He was transferred to the em ergency unit soon after cardiac arrest. An emergency laparotomy reveal ed a fistula between the third portion of the duodenum and an AAA. The authors successfully performed graft replacement for infrarenal AAA a nd primary repair for the penetrated wall of the duodenum.