Acta Scientific Clinical Case Reports

Case ReportVolume 4 Issue 3

An Early Detection and Treatment are Essential for Healing Vascular Leg Ulcers. Double Focal Compression Bandaging Technique

Carlos Sanchez*

Galician Health Service, Primary Care, SERGAS, Lugo, Spain

*Corresponding Author: Carlos Sanchez, Galician Health Service, Primary Care, SERGAS, Lugo, Spain.

Received: January 23, 2023; Published: February 13, 2023

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

Bibliography

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Citation: Carlos Sanchez. “An Early Detection and Treatment are Essential for Healing Vascular Leg Ulcers. Double Focal Compression Bandaging Technique". Acta Scientific Clinical Case Reports 4.3 (2023): 26-31.

Copyright: © 2022 Carlos Sanchez. 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.



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