J Korean Soc Vasc Surg.  2003 May;19(1):79-82.

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

• Yu SB
• Park SC
• Moon IS
• Koh YB

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.

Keyword

Aortoenteric fistula; Salmonella mycotic aneurysm

MeSH Terms

Aneurysm
Aortic Aneurysm*
Aortic Aneurysm, Abdominal
Ciprofloxacin
Fistula*
Humans
Middle Aged
Mortality
Polyethylene Terephthalates
Salmonella*
Transplants
Vascular Diseases
Ciprofloxacin
Polyethylene Terephthalates