Page 75 - Virtual Vascular Vol 5
P. 75
The aortoduodenal fistula was
separated and primary repair was
performed.
The duodenal defect was closed with
interrupted 4/0 maxon sutures.
A nasojejunal tube was inserted for
early resumption of enteral feeding,
with a decompressive nasogastric tube
placed at the same time.
An aorto-duodenal fistula is a highly
lethal condition from persistent sepsis.
Conventional treatment recomomends
total graft removal and extra-
anatomcial bypass while
unconventional approaches like this
may be attempted empirically in high
risk patients.
Post- operative contrast meal showed no
contrast extravasation or abnormal hold
up in the stomach. 75
