Successful Surgical Treatment of an Infected Thoracoabdominal Aneurysm Accompanied with Leriche Syndrome
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...
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Format: | Article |
Language: | English |
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Wiley
2019-01-01
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Series: | Case Reports in Surgery |
Online Access: | http://dx.doi.org/10.1155/2019/1628157 |
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author | Masato Furui Hirohisa Hirata Bunpachi Kakii Gaku Uchino Mai Asanuma Haruo Suzuki Hiroaki Nishioka Takeshi Yoshida |
author_facet | Masato Furui Hirohisa Hirata Bunpachi Kakii Gaku Uchino Mai Asanuma Haruo Suzuki Hiroaki Nishioka Takeshi Yoshida |
author_sort | Masato Furui |
collection | DOAJ |
description | 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. |
format | Article |
id | doaj-art-5a3352c2b6aa4a91834cd43f104bd7c5 |
institution | Kabale University |
issn | 2090-6900 2090-6919 |
language | English |
publishDate | 2019-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Surgery |
spelling | doaj-art-5a3352c2b6aa4a91834cd43f104bd7c52025-02-03T05:53:05ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/16281571628157Successful Surgical Treatment of an Infected Thoracoabdominal Aneurysm Accompanied with Leriche SyndromeMasato Furui0Hirohisa Hirata1Bunpachi Kakii2Gaku Uchino3Mai Asanuma4Haruo Suzuki5Hiroaki Nishioka6Takeshi Yoshida7Cardiovascular Surgery Department, Matsubara Tokushukai Hospital, 7-13-26 Amamihigashi, Matsubara, Osaka, JapanSurgery Department, Matsubara Tokushukai Hospital, 7-13-26 Amamihigashi, Matsubara, Osaka, JapanCardiovascular Surgery Department, Matsubara Tokushukai Hospital, 7-13-26 Amamihigashi, Matsubara, Osaka, JapanCardiovascular Surgery Department, Matsubara Tokushukai Hospital, 7-13-26 Amamihigashi, Matsubara, Osaka, JapanCardiovascular Surgery Department, Matsubara Tokushukai Hospital, 7-13-26 Amamihigashi, Matsubara, Osaka, JapanCardiovascular Surgery Department, Kyoto Renaiss Hospital, 4-13, Suehirocho, Fukuchiyama, Kyoto, JapanSurgery Department, Matsubara Tokushukai Hospital, 7-13-26 Amamihigashi, Matsubara, Osaka, JapanCardiovascular Surgery Department, Matsubara Tokushukai Hospital, 7-13-26 Amamihigashi, Matsubara, Osaka, JapanA 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.http://dx.doi.org/10.1155/2019/1628157 |
spellingShingle | Masato Furui Hirohisa Hirata Bunpachi Kakii Gaku Uchino Mai Asanuma Haruo Suzuki Hiroaki Nishioka Takeshi Yoshida Successful Surgical Treatment of an Infected Thoracoabdominal Aneurysm Accompanied with Leriche Syndrome Case Reports in Surgery |
title | Successful Surgical Treatment of an Infected Thoracoabdominal Aneurysm Accompanied with Leriche Syndrome |
title_full | Successful Surgical Treatment of an Infected Thoracoabdominal Aneurysm Accompanied with Leriche Syndrome |
title_fullStr | Successful Surgical Treatment of an Infected Thoracoabdominal Aneurysm Accompanied with Leriche Syndrome |
title_full_unstemmed | Successful Surgical Treatment of an Infected Thoracoabdominal Aneurysm Accompanied with Leriche Syndrome |
title_short | Successful Surgical Treatment of an Infected Thoracoabdominal Aneurysm Accompanied with Leriche Syndrome |
title_sort | successful surgical treatment of an infected thoracoabdominal aneurysm accompanied with leriche syndrome |
url | http://dx.doi.org/10.1155/2019/1628157 |
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