Journal of the Korean Society for Vascular Surgery  2003;19(1):79-82

Primary Aorto-Duodenal Fistula in Salmonella Mycotic Aortic Aneurysm: A Case Report.

Sung Bong YU 1 ; Sun Cheol PARK ; In Sung MOON ; Yong Bok KOH

Affiliations

+expand

Keywords

Aortoenteric fistula; Salmonella mycotic aneurysm

Country

Republic of Korea

Language

Korean

Abstract

Primary aortoenteric fistulae (AEFs) are extremely rare vascular disease entities, with a mortality ranging from 33 to 85%. Only two cases of Salmonella mycotic aortic aneurysms causing primary AEFs have been reported. We experienced a rare case of a 57-year-old man with intermittent gastrointestinal bleeds and who was diagnosed as having primary aortoenteric fistula with abdominal aortic aneurysm, confirmed by CT. In the operation room, the fistula was closed and a temporary proximal duodenojejunostomy was created. The aneurysm was replaced with an aorto-biiliac bypass using Dacron Graft with an inter-positioning omental flap. The microbiology report of aneurysm wall, blood and periaortic tissue showed infection with group D salmonella. He was treated with ciprofloxacin and discharged in good general condition on the 21st post-operative day.