Gianluca Massaini¹*, Nicola Troisi², Carlo Pratesi¹ and Stefano Michelagnoli³

¹Department of Vascular Surgery, University of Florence, Italy
²Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Italy
³Department of Surgery, Vascular and Endovascular Surgery Unit, San Giovanni di Dio Hospital, Florence, Italy

*Corresponding Author: Gianluca Massaini, Department of Surgery, Vascular and Endovascular Surgery Unit, Careggi Hospital, University Florence, Italy.

Received: October 24, 2021; Published: November 17, 2021

Abstract

Objectives: Aortoduodenal syndrome is a rare clinical condition with duodenal obstruction caused by an abdominal aortic aneurysm (AAA). We report the case of a 60-year-old patient with aortoduodenal syndrome successfully treated by means of open repair.

Methods: A 60-year-old man with history of smoking and hypertension came to Emergency Department after a prolonged emesis (about 7 days). Direct computed tomography (CT)-scan detected a 9.2-cm infrarenal AAA with compression of the third part of duodenum. Acute renal failure and bowel occlusion were diagnosed and managed.

Results: Patient underwent open surgery. Surgical team included a visceral surgeon. An aortic standard repair was performed with a 20-mm Dacron tube graft. No bowel surgery was needed. 6-month CT-scan revealed a successful repair with no sequelae.

Conclusions: Open repair seems to be a good option in aortoduodenal syndrome management. Prompt management of clinical signs and symptoms is crucial to obtain successful outcomes.

Keywords: Abdominal Aortic Aneurysm; Aortoduodenal Syndrome; Duodenal Obstruction

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Citation: Gianluca Massaini., et al. “Aortoduodenal Syndrome: Case Report and Review of the Literature". Acta Scientific Clinical Case Reports 2.12 (2021): 18-21.

Copyright: © 2021 Gianluca Massaini., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.