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3D reconstruction of the abdominal CT scan showed an infra-renal abdominal aortic aneurysm
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An emergent abdominal CT scan revealed an infra-renal abdominal aortic aneurysm measuring 4 cm (Figure 1) with induration around the aorta and contrast leakage toward the duodenum (Figure 2).
Axial CT scan revealing induration around the aorta (blue star) with an adjacent fat strand abutting the small bowel and contrast leakage toward the duodenum (white star).
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An emergent abdominal CT scan revealed an infra-renal abdominal aortic aneurysm measuring 4 cm (Figure 1) with induration around the aorta and contrast leakage toward the duodenum (Figure 2).
Intraoperative findings of aortoduodenal fistula between the fourth part of the duodenum and the infra-renal aortic aneurysm (black dotted circle).
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During exploration, we identified an aortoduodenal fistula between the fourth part of the duodenum and the proximal infra-renal aortic aneurysm (Figure 3).
Final look after aortic (white dotted circle) and duodenal repair (white arrow)
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The duodenum was closed with a 3/0 Vicryl (Figure 4).