Primary aortoduodenal fistula caused by duodenal tuberculosis without an abdominal aortic aneurysm: Report of a case |
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| Authors: | Yuzo Kodaira Tetsuo Shibuya Koushi Matsumoto Kiichiro Uchiyama Toshihiro Tenjin Nobutaka Yamada Shigeo Tanaka |
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| Institution: | (1) Second Department of Surgery, Nippon Medical School, 3-5-5 Iidabashi, Chiyoda-ku, 102 Tokyo, Japan;(2) Second Department of Pathology, Nippon Medical School, 3-5-5 Iidabashi, Chiyoda-ku, 102 Tokyo, Japan |
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| Abstract: | A 66-year-old man died of massive gastrointestinal hemorrhage caused by a fistula between the third portion of the duodenum
and the abdominal aorta. An autopsy revealed that duodenal tuberculosis had resulted in the development of a fistula into
the aorta with no pathological changes, and no active pulmonary tuberculosis was found. Duodenal tuberculosis and primary
aortoduodenal fistula (ADF) without an aneurysm are both extremely rare. Thus, we report herein a unique case of primary aortoduodenal
fistula without an abdominal aortic aneurysm, but associated with duodenal tuberculosis, and review the current literature. |
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| Keywords: | primary aortoduodenal fistula duodenal tuberculosis massive gastrointestinal bleeding |
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