Abdominal aortic aneurysm and its association with duodenal obstruction: aortoduodenal syndrome

Proximal small bowel obstruction in the region of the duodenum is an uncommon clinical entity. Our case, which involves obstruction of the third portion of the duodenum due to an abdominal aortic aneurysm (AAA), is even more unusual. A review of the relevant literature regarding duodenal obstruction due to extrinsic compression includes features that differentiate aortoduodenal syndrome from superior mesenteric artery syndrome. Management of these conditions range from conservative to surgical, of which now includes a more recent role of metallic stents in some instances.

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A Case of Duodenal Obstruction Caused by Superior Mesenteric Artery Syndrome Associated with a Huge Abdominal Aortic Aneurysm

The Journal of Japanese College of Angiology ◽

10.7133/jca.13-00019 ◽

2013 ◽

Vol 53 (June) ◽

pp. 89-92

Author(s):

Kensuke Kobayashi ◽

Yukio Suto ◽

Okihiko Akashi

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Duodenal Obstruction ◽

Superior Mesenteric Artery Syndrome ◽

Abdominal Aortic

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Role of the Hardman Index in Predicting Mortality for Open and Endovascular Repair of Ruptured Abdominal Aortic Aneurysm

Journal of Endovascular Therapy ◽

10.1583/1545-1550(2007)14[528:rothii]2.0.co;2 ◽

2007 ◽

Vol 14 (4) ◽

pp. 528-535 ◽

Cited By ~ 4

Author(s):

Muhammad Anees Sharif ◽

Bernard Lee ◽

Ragai Reda Makar ◽

William Loan ◽

Chee Voon Soong

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Endovascular Repair ◽

Ruptured Abdominal Aortic Aneurysm ◽

Abdominal Aortic

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The potential role of plasma fibroblast growth factor 21 as a diagnostic biomarker for abdominal aortic aneurysm presence and development

Life Sciences ◽

10.1016/j.lfs.2021.119346 ◽

2021 ◽

pp. 119346

Author(s):

Ting Xie ◽

Liangying Yin ◽

Dan Guo ◽

Zixin Zhang ◽

Yuexin Chen ◽

...

Keyword(s):

Abdominal Aortic Aneurysm ◽

Growth Factor ◽

Aortic Aneurysm ◽

Fibroblast Growth Factor ◽

Potential Role ◽

Fibroblast Growth Factor 21 ◽

Fibroblast Growth ◽

Diagnostic Biomarker ◽

Abdominal Aortic

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Prospect of positron emission tomography for abdominal aortic aneurysm risk stratification

Journal of Nuclear Cardiology ◽

10.1007/s12350-021-02616-8 ◽

2021 ◽

Author(s):

Richa Gandhi ◽

Michael Bell ◽

Marc Bailey ◽

Charalampos Tsoumpas

Keyword(s):

Positron Emission Tomography ◽

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Risk Stratification ◽

Patient Management ◽

Emission Tomography ◽

Clinical Implementation ◽

Positron Emission ◽

Abdominal Aortic

AbstractAbdominal aortic aneurysm (AAA) disease is characterized by an asymptomatic, permanent, focal dilatation of the abdominal aorta progressing towards rupture, which confers significant mortality. Patient management and surgical decisions rely on aortic diameter measurements via abdominal ultrasound surveillance. However, AAA rupture can occur at small diameters or may never occur at large diameters, implying that anatomical size is not necessarily a sufficient indicator. Molecular imaging may help identify high-risk patients through AAA evaluation independent of aneurysm size, and there is the question of the potential role of positron emission tomography (PET) and emerging role of novel radiotracers for AAA. Therefore, this review summarizes PET studies conducted in the last 10 years and discusses the usefulness of PET radiotracers for AAA risk stratification. The most frequently reported radiotracer was [18F]fluorodeoxyglucose, indicating inflammatory activity and reflecting the biomechanical properties of AAA. Emerging radiotracers include [18F]-labeled sodium fluoride, a calcification marker, [64Cu]DOTA-ECL1i, an indicator of chemokine receptor type 2 expression, and [18F]fluorothymidine, a marker of cell proliferation. For novel radiotracers, preliminary trials in patients are warranted before their widespread clinical implementation. AAA rupture risk is challenging to evaluate; therefore, clinicians may benefit from PET-based risk assessment to guide patient management and surgical decisions.

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