A Case of Primary Aortoduodenal Fistula and Abdominal Aortic Aneurysm in a Patient with Chronic Q-fever

Aorta ◽  
2017 ◽  
Vol 5 (1) ◽  
pp. 27-29 ◽  
Author(s):  
Arne de Niet ◽  
Ignace F.J. Tielliu ◽  
Paul M. van Schaik ◽  
Jan J.A.M. van den Dungen ◽  
Clark J. Zeebregts
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Q Fever ◽  
Aortoduodenal Fistula ◽  
Abdominal Aortic ◽  
Chronic Q Fever

scholarly journals A Case of Primary Aortoduodenal Fistula and Abdominal Aortic Aneurysm in a Patient with Chronic Q Fever

Aorta ◽  
2017 ◽  
Vol 05 (01) ◽  
pp. 27-29
Author(s):  
Arne de Niet ◽  
Ignace Tielliu ◽  
Paul van Schaik ◽  
Jan van den Dungen ◽  
Clark Zeebregts
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Medical Treatment ◽  
Causative Agent ◽  
Q Fever ◽  
Aortoduodenal Fistula ◽  
Abdominal Aortic ◽  
Chronic Q Fever ◽  
History Of

AbstractA 70-year-old man was successfully treated for an aortoduodenal fistula originating from a Q fever-related abdominal aortic aneurysm. He had no known history of contact with cattle or sheep. Although the combination of abdominal aortic aneurysm and aortoduodenal fistula is rare, one should be suspicious of Q fever infection as the causative agent, and additional medical treatment should be initiated.

Primary aortoduodenal fistula and chronic Q fever infection

2021 ◽  
Vol 14 (2) ◽  
pp. e238373
Author(s):  
Cuong Nghi Do ◽  
Ethan Oskar Mar ◽  
Beatrice Sim ◽  
David Looke
Keyword(s):  
Risk Factors ◽  
Abdominal Aortic Aneurysm ◽  
Q Fever ◽  
Case Reports ◽  
Successful Outcome ◽  
Aortoduodenal Fistula ◽  
Abdominal Aortic ◽  
Chronic Q Fever ◽  
Definitive Surgery ◽  
Animal Reservoirs

We report a case of chronic Q fever presenting with catastrophic bleeding from an infected abdominal aortic aneurysm causing a primary aortoduodenal fistula in an 80-year-old retired farmer. This presentation is rarely reported in literature and only through case reports. Early diagnosis and definitive surgery were critical to a successful outcome. Serological diagnosis of Q fever was initiated on the patient’s past exposure to animal reservoirs. Complicating the case was ongoing gastrointestinal bleeding postsurgery, with multiple endoscopies undertaken before a culprit remnant fistula was found. This case highlights the value in considering Coxiella burnetii as an underlying cause in patients with known risk factors presenting with primary aortoduodenal fistulas. Though rare, it represents a readily treatable cause.

scholarly journals Chronic Q-Fever (Coxiella burnetii) Causing Abdominal Aortic Aneurysm and Lumbar Osteomyelitis: A Case Report

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
P. Alexander Leahey ◽  
Steven R. Tahan ◽  
Ekkehard M. Kasper ◽  
Mary Albrecht
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Coxiella Burnetii ◽  
Q Fever ◽  
Prolonged Treatment ◽  
Chain Reaction ◽  
Abdominal Aortic ◽  
Chronic Q Fever ◽  
Polymerase Chain ◽  
Ig G

Abstract Coxiella burnetii is a rare cause of chronic infection that most frequently presents as endocarditis. We report a case of C burnetii causing an infected abdominal aortic aneurysm with contiguous lumbar osteomyelitis resulting in spinal cord compromise. The diagnosis was established by serologic studies consistent with chronic Q-fever (ratio of C burnetii immunoglobulin [Ig]G phase II titer to IgG phase I titer <1) and was confirmed by positive C burnetii polymerase chain reaction of vertebral tissue in addition to pathology of vertebral bone showing intracellular Gram-negative coccobacillary bacteria. The patient clinically improved after surgical decompression and prolonged treatment with doxycycline and hydroxychloroquine.

scholarly journals Aortoduodenal fistula and associated rupture of abdominal aortic aneurysm after endoluminal stent graft repair

2003 ◽  
Vol 37 (2) ◽  
pp. 465-468 ◽  
Author(s):  
Suresh Alankar ◽  
Merle H. Barth ◽  
David D. Shin ◽  
Janice R. Hong ◽  
Wade R. Rosenberg
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Stent Graft ◽  
Aortoduodenal Fistula ◽  
Abdominal Aortic ◽  
Stent Graft Repair ◽  
Endoluminal Stent

scholarly journals A Case of Aortoduodenal Fistula Presenting Six Years after an Operation for Abdominal Aortic Aneurysm

2006 ◽  
Vol 35 (4) ◽  
pp. 239-241
Author(s):  
Yasuhiro Sawada ◽  
Hitoshi Kusagawa ◽  
Kouji Onoda ◽  
Takatsugu Shimono ◽  
Hideto Shinpo
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Aortoduodenal Fistula ◽  
Abdominal Aortic

Life-Threatening Upper Gastrointestinal Bleeding Secondary to Aortoenteric Fistula

2008 ◽  
Vol 2 ◽  
pp. CCRPM.S376
Author(s):  
Tasbirul Islam ◽  
George Hines ◽  
Douglas S. Katz ◽  
William Purtil ◽  
Francis Castiller
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Gastrointestinal Bleeding ◽  
Surgical Repair ◽  
Upper Gastrointestinal Bleeding ◽  
Aortoduodenal Fistula ◽  
Open Surgical Repair ◽  
Abdominal Aortic ◽  
Life Threatening ◽  
Upper Gastrointestinal

We present a patient with gastrointestinal bleeding secondary to an aortoduodenal fistula. The patient had undergone an open surgical repair of an abdominal aortic aneurysm five years prior to admission.

Aortoduodenal Fistula After Endovascular Abdominal Aortic Aneurysm Repair

2020 ◽  
Vol 54 (5) ◽  
pp. 445-448
Author(s):  
Akihiro Hosaka ◽  
Masaru Nemoto ◽  
Manabu Motoki ◽  
Atsushi Akai ◽  
Masaaki Kato
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Primary Repair ◽  
Recurrent Infection ◽  
Abdominal Aortic Aneurysm Repair ◽  
Duodenal Wall ◽  
Aortoduodenal Fistula ◽  
Abdominal Aortic ◽  
Life Threatening ◽  
Aneurysm Repair

Aortoduodenal fistula after endovascular treatment of abdominal aortic aneurysm is a very rare but life-threatening complication. Herein, we describe 4 cases of aortoduodenal fistula diagnosed at 15 to 78 months after the index aortic intervention, all successfully treated by surgery. All patients underwent primary repair of the duodenal wall, creation of tube duodenostomy, stent graft removal, and in situ reconstruction using a rifampicin-soaked prosthesis. Patients received prolonged antibiotic treatment for at least 2 months postoperatively, and all were free of recurrent infection at follow-up. Prompt and appropriate surgical intervention is required to effectively manage this condition.

scholarly journals Aortoduodenal Fistula Occurring One Month after Operation for an Inflammatory Abdominal Aortic Aneurysm.

2001 ◽  
Vol 30 (4) ◽  
pp. 200-202 ◽  
Author(s):  
Takahiro Manabe ◽  
Yukio Ichikawa ◽  
Kiyotaka Imoto ◽  
Michio Tobe ◽  
Ichiya Yamazaki ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Aortoduodenal Fistula ◽  
Abdominal Aortic ◽  
Inflammatory Abdominal Aortic Aneurysm

scholarly journals Survival of Serious and Lethal Complication of Gastrointestinal Hemorrhage: Case Report

2018 ◽  
Vol 3 (4) ◽  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Case Report ◽  
Aortic Aneurysm ◽  
Upper Gastrointestinal Bleeding ◽  
Case Description ◽  
Elevated Blood ◽  
Aortoduodenal Fistula ◽  
Abdominal Aortic ◽  
Disease Case ◽  
Upper Gastrointestinal

Background Primary aortoduodenal fistula (PADF) is a rare, serious complication of abdominal aortic aneurysm (AAA). Frequently the diagnosis is missed due to the rarity of disease. Case description A 76 year old, Male referred to GIT center in our hospital suffering from severe upper gastrointestinal bleeding and melena. All investigation appears normal apart from elevated blood urea with 3 sessions of upper GIT endoscopy by expert GI Physician with no evidence of cause for the bleeding (he put in her mind Dieulaphoy lesion).

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