AI Article Synopsis
- A 56-year-old man experienced severe gastrointestinal bleeding and loss of consciousness, leading to the discovery of an infected thoracoabdominal aneurysm and other serious conditions via CT scan.
- Emergency surgery was executed to control the infection, involving complex reconstruction of major blood vessels and removal of a problematic fistula, followed by the creation of a feeding route through an enterostomy.
- The patient was successfully discharged after 48 days in the hospital and remained healthy without recurrence of issues after 23 months.
Article Abstract
A 56-year-old man presenting with massive melena and loss of consciousness was diagnosed with an infected thoracoabdominal aneurysm, an aortoduodenal fistula, and Leriche syndrome following an evaluation by computed tomography. Emergency surgery for uncontrolled infection included the reconstruction of the superior mesenteric and bilateral renal arteries using a four-branched graft. The aortoduodenal fistula was resected after omental filling, and an enterostomy was performed for feeding. Intestinal reconstruction was performed in two stages. The patient was discharged on postoperative day 48 and was without evidence of recurrence at 23 months postoperatively.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6501254 | PMC |
| http://dx.doi.org/10.1155/2019/1628157 | DOI Listing |
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