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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Main Authors: Masato Furui, Hirohisa Hirata, Bunpachi Kakii, Gaku Uchino, Mai Asanuma, Haruo Suzuki, Hiroaki Nishioka, Takeshi Yoshida
Format: Article
Language:English
Published: Wiley 2019-01-01
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.
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institution Kabale University
issn 2090-6900
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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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