Aortoduodenal fistula after abdominal aortic stent graft presenting with extremity abscesses

Sean P Lyden; Eugene M Tanquilut; Timothy J Gavin; Julie E Adams

doi:10.1258/rsmvasc.13.5.305

Aortoduodenal fistula after abdominal aortic stent graft presenting with extremity abscesses

Vascular. 2005 Sep-Oct;13(5):305-8. doi: 10.1258/rsmvasc.13.5.305.

Authors

Sean P Lyden¹, Eugene M Tanquilut, Timothy J Gavin, Julie E Adams

Affiliation

¹ Department of Vascular Surgery, The Cleveland Clinic Foundation, Cleveland, OH, USA. lydens@ccf.org

PMID: 16288707
DOI: 10.1258/rsmvasc.13.5.305

Abstract

Aortoenteric fistula (AEF) has been described after endovascular stent graft repair of abdominal aortic aneurysms (EVAR). AEF after EVAR has been associated with aneurysm growth, endoleak, migration, and aortic inflammation. We report a patient with an AEF presenting 2 years after EVAR with two abscesses in the right leg. A computed tomographic scan showed a gas-filled thrombus lining the right limb of his graft. At conversion, no endoleak, device migration, or residual aneurysm sac was found. AEF can occur after endoluminal stent graft (ELG) in the absence of aneurysm growth, endoleak, migration, or inflammation. AEF can cause ELG infection and extremity infection.

Publication types

Case Reports

MeSH terms

Abscess / etiology*
Aged
Aortic Aneurysm, Abdominal / surgery
Aortic Diseases / etiology*
Blood Vessel Prosthesis Implantation / methods
Duodenal Diseases / etiology*
Humans
Intestinal Fistula / etiology*
Leg
Male
Postoperative Complications / etiology*
Stents / adverse effects
Vascular Fistula / etiology*