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(Ascites chylous)
1,599 results
  • Primary aortoduodenal fistula: A case report and review of literature. [Journal Article]
  • IJInt J Surg Case Rep 2018 Jul 26; 50:80-83
  • Ishimine T, Tengan T, … Kato T
  • CONCLUSIONS: In our case, the patient presented with hematemesis and a pulsatile abdominal mass on physical examination and had a history of untreated AAA, which helped in prompt diagnosis of PADF. CT findings suggesting PADF include disappearance of the fat plane between the aneurysm and duodenum, air in the retroperitoneum or within the aortic wall, and contrast enhancement within the duodenum. The recommended surgical approach for PADF consists of aortic reconstruction (in situ aortic reconstruction or extra-anatomical bypass) and duodenal repair.Our report affirms that CT and open surgery are effective diagnostic and treatment options, respectively, for PADFs.
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