Abdominal aortic aneurysm causing duodenal obstruction: Two case reports and review of the literature

Jonathan S. Deitch, Jennifer A. Heller, Deirdre McGagh, Marcus D'Ayala, K. Craig Kent, George W. Plonk, Kimberley J. Hansen, John Ligush

Research output: Contribution to journalArticle

Abstract

Obstruction of the upper gastrointestinal tract caused by an abdominal aortic aneurysm (aortoduodenal syndrome) has been rarely reported. The typical presentation includes protracted emesis in a patient with a pulsatile abdominal mass. Clinical features of weight loss, abdominal pain, and distention are present less frequently. The diagnosis is suggested by findings on computed tomography scans, and may be confirmed with upper gastrointestinal contrast material-enhanced studies or upper endoscopy. Aortic aneurysmorrhaphy is curative, and should be undertaken after gastrointestinal decompression and correction of fluid and electrolyte disturbances. We report 2 cases of abdominal aortic aneurysm producing upper gastrointestinal obstruction, and provide a review of the literature relevant to this clinical syndrome.

Original languageEnglish (US)
Pages (from-to)543-547
Number of pages5
JournalJournal of vascular surgery
Volume40
Issue number3
DOIs
StatePublished - Sep 2004

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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    Deitch, J. S., Heller, J. A., McGagh, D., D'Ayala, M., Kent, K. C., Plonk, G. W., Hansen, K. J., & Ligush, J. (2004). Abdominal aortic aneurysm causing duodenal obstruction: Two case reports and review of the literature. Journal of vascular surgery, 40(3), 543-547. https://doi.org/10.1016/j.jvs.2004.04.028