Abdominal aortic aneurysm causing duodenal obstruction: two case reports and review of the literature

Journal of Vascular Surgery
Jonathan S DeitchJohn Ligush

Abstract

Obstruction of the upper gastrointestinal tract caused by an abdominal aortic aneurysm (aortoduodenal syndrome) has been rarely reported. The typical presentation includes protracted emesis in a patient with a pulsatile abdominal mass. Clinical features of weight loss, abdominal pain, and distention are present less frequently. The diagnosis is suggested by findings on computed tomography scans, and may be confirmed with upper gastrointestinal contrast material-enhanced studies or upper endoscopy. Aortic aneurysmorrhaphy is curative, and should be undertaken after gastrointestinal decompression and correction of fluid and electrolyte disturbances. We report 2 cases of abdominal aortic aneurysm producing upper gastrointestinal obstruction, and provide a review of the literature relevant to this clinical syndrome.

References

Jun 28, 1975·British Medical Journal·H M Adair
Aug 2, 1975·British Medical Journal·J S Marks, W Lawler
Nov 1, 1988·The Australian and New Zealand Journal of Surgery·F G QuigleyG G Jamieson
Sep 1, 1987·Clinical Radiology·P L RedmondD J Nolan
Feb 1, 1993·The American Journal of Medicine·M SostekT L Harris

❮ Previous
Next ❯

Citations

Mar 10, 2010·World Journal of Emergency Surgery : WJES·Iain Au-YongSimon C Whitaker
Apr 18, 2006·Journal of Vascular Surgery·Hisato TakagiTakuya Umemoto
Oct 27, 2020·The Indian Journal of Radiology & Imaging·Esther L Pachuau, Isak Lallawmkima
Feb 9, 2021·Annals of Vascular Surgery·Patricio RosaJoseph W Melendez-Davidson

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.