Ruiz MH, Pérez LB, Torres LHD, González HJA

Language: Spanish
References: 10
Page: 28-32
PDF size: 138.80 Kb.

ABSTRACT

Objective: To present a case report, management, review of the literature and conclude the alternative options to decrease morbimortality.
Background: Aortocava fistula is present in 4% of the emergent procedures and 0.2% of the programmed procedures. The aortocava duodenal fistula is involved in 80% of all enteric fistulas with mortality of 35 to 50%. The primary enteric fistulas are rare with presentation less than 0.6%.
Patients and methods: A male patient, 61 years old, with abdominal aortic infrarenal aneurysm with fistula of third portion of duodenum and lower cava vein in the Hospital Regional “Dr. Valentín Gómez Farías”, ISSSTE, Zapopan, Jalisco, was treated with axilo bifemoral bypass with PTFE’s graft of 8 mm.
Results: Patient was submitted to surgery in November of 2003, died two hours after procedure due to septic shock and hypovolemic shock.
Conclusions: There is still a high index of morbidity and mortality in this kind of patient even though they are present in a concomitant manner. We need more registered cases with better following to make conclusions with better results in the future.

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