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: March 09, 2023
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
Citation: Gianluca Massaini., et al. “Aortoduodenal Syndrome: Case Report and Review of the Literature". Acta Scientific Clinical Case Reports 4.4 (2023): 37-39.
Copyright: © 2022 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.