Duodenal Obstruction by Abdominal Aortic Aneurysms |
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Authors: | David D. Coster M.D. David H. Stubbs M.D. F.A.CS. David T. Sidney M.D. F.A.C.S. |
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Affiliation: | Department of Surgical Education, Iowa Methodist Medical Center, Des Moines, Iowa |
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Abstract: | We report a case of duodenal obstruction caused by an abdominal aortic aneurysm. The duodenum was firmly attached to the lateral wall of the aneurysm by a tough, fibrous band. Duodenal obstruction is a rare presenting complaint in a patient with an abdominal aortic aneurysm. Anatomic features have not been routinely described in previous patients. We propose a mechanism for the cause of this entity and a review of the literature. The treatment of choice is resection of the aneurysm with graft replacement of the aorta. |
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