Navigation Links
A strange case of upper obstructive syndrome
Date:2/22/2008

Aorto-duodenal fistulae (ADF) are the most frequent aorto-enteric fistulae (80%) and the most frequent presenting sign of ADF is upper gastrointestinal bleeding (UGI). A 59-year-old male patient, who underwent an aortic-bi-femoral bypass five years ago, was admitted to the Emergency Room after five days of persistent occlusive syndrome with dyspepsia and biliary vomiting. Computed tomography (CT) scan showed in the third duodenal segment the presence of an area with the characteristics of inflammatory tissue, including air bubbles between the duodenum and aortic-bi-femoral prosthesis adherent to the third duodenal portion (comma sign) (Figure 1). Microbiological cultures and scintigraphy were unremarkable. Esophago-gastro-duodenoscopy showed the aortic prosthesis crossing the third segment of duodenal wall occluding the intestinal lumen (Figure 2). At laparotomy, after viscerolisis, the prosthesis was detached from duodenal wall and the intestine failed to close transversely (Figure 3). To protect the intestinal wall, a pediculated fragment of the greater omentum was placed between the duodenum and aortic bypass. Furthermore, a gastrojejunal Roux anastomosis was employed. The prosthesis was not changed because there were no local or systemic signs of infection. The post-operative course was uneventful.

These findings were published in the January 21, 2008 edition of the World Journal of Gastroenterology. ADF may be primarily due to a spontaneous communication between the lumen of aortic aneurysm and intestinal loop, or secondarily due to surgical repair of aneurysms with prosthetic implants. Clinical suspicion is essential in the diagnosis of ADF and the most commonly used techniques for its diagnosis are esophago-gastro-duodenoscopy (EGDS) and CT.

Otherwise, secondary ADF is an uncommon (0.3% - 2%) and life-threatening long-term complication of aortic reconstructive surgery, with only hypothetic and speculative pathogenesis (mechani
'/>"/>

Contact: Jing Zhu
wjg@wjgnet.com
86-105-908-0039
World Journal of Gastroenterology
Source:Eurekalert  

Page: 1 2

Related medicine news :

1. Human Noses Sort Out Strangers, Friends
2. Fat on chest and upper back increases risk of insulin resistance
3. Patients may have sweet and effective way to prepare for upper GI endoscopy: an anesthetic lollipop
4. Supratek Pharma Inc. announced today that the U.S. Food and Drug Administration (FDA) has cleared its Investigational New Drug (IND) application for SP1049C for the treatment of metastatic adenocarcinoma of the upper gastrointestinal tract
5. Don Messer Will Speak in Upper Room Chapel to Observe World AIDS Day
6. Prominent Orthopaedic Hand and Upper Extremity Surgeon Joins Radlink Board of Directors
7. New upper limit defined for normal ALT in adolescent males
8. Treating obstructive sleep apnea, preventing heart attacks and strokes
9. Diabetes appears to increase risk of death for patients with acute coronary syndromes
10. Eye-staining technique offers early detection for dry eye syndrome
11. Pollen, Fruits, Veggies Help Trigger Oral Allergy Syndrome
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
A strange case of upper obstructive syndrome
(Date:4/14/2014)... treat children with uncomplicated acute appendicitis is a reasonable ... fewer missed school days, according to a pilot study. ... Hospital and published online April 12 in the ... the first prospective study on nonoperative management of acute ... , Researchers enrolled 77 patients age 7 to 17 ...
(Date:4/14/2014)... 2014, Perth, Australia. Drug discovery company Proteomics International ... of a companion diagnostic (CDx) test with the ... The research team authenticated the panel of biomarkers ... samples. Seven biomarkers were validated at high stringency ... The mass spectrometry data was then cross-validated using ...
(Date:4/14/2014)... 2014) When it comes to the cost and ... Patients get the best care when they are treated ... extensive experience in their current job, according to a ... and Columbia Business School. The study was published in ... Applied Economics . , The review of more ...
(Date:4/13/2014)... STANFORD, Calif. A low-cost empowerment program for ... and sexual harassment of these girls, who live ... and are frequently attacked, a large new study ... Stanford University School of Medicine, Lucile Packard Children,s ... No Worldwide, validated the program,s effectiveness in combating ...
(Date:4/11/2014)... the processes that control brain cell production could pave ... brain-related disorders. , Scientists have gained new understanding of ... how and when nerve and brain cells are formed ... and keeps it healthy. Their findings could help explain ... which is a fundamental characteristic of many diseases including ...
Breaking Medicine News(10 mins):Health News:Antibiotics alone are a successful treatment for uncomplicated acute appendicitis in kids 2Health News:Antibiotics alone are a successful treatment for uncomplicated acute appendicitis in kids 3Health News:Longer nurse tenure on hospital units leads to higher quality care 2Health News:Empowerment program greatly decreases incidence of rape, Stanford/Packard-led study finds 2Health News:Empowerment program greatly decreases incidence of rape, Stanford/Packard-led study finds 3Health News:Empowerment program greatly decreases incidence of rape, Stanford/Packard-led study finds 4
... Benefit Sharp Rehabilitation Services -, SAN DIEGO, ... will hold its second annual charity event, a ... in Point Loma on June 20th and,21st. More ... throughout California are,expected to participate. This year, representatives ...
... reduce air trapped in the lungs during exercise, researchers ... computer program may help people with chronic obstructive pulmonary ... breathe more efficiently, according to U.S. researchers who are ... sword: The incapacitating lung condition can cause such serious ...
... Create Healing & Peace on Earth, Help Tibet by practicing Tai Chi and Qigong, the ancient art of peaceful movement, ... Saturday, April 26, 2008 ... a.m. - noon ... Theosophical Society, Wheaton, IL, Gather outside Rain ...
... Inc. (Nasdaq: VNUS ) today announced that the ... Patent & Trademark Office for,a patent application that is ... VNUS patent infringement lawsuit against suppliers of endovenous laser,products., ... as a continuation,of VNUS,s U.S. Patent No. 6,769,433 (the ...
... Inc., a leader,in fluorescence in vivo imaging, today ... Capital Ventures and Flagship Ventures co-led,this $5.0 million ... raised,$7 million in November 2007, bringing the total ... use the additional financing to further,advance its proprietary ...
... A new American Cancer Society study finds female African ... screening, indicating that current estimates of screening based on ... from the Societys Behavioral Research Center, led by Barbara ... patients at a federally qualified health center (FQHC) and ...
Cached Medicine News:Health News:Computer Program Helps COPD Patients Monitor Breathing 2Health News:'Tai Chi & Qigong will play an important role in global awakening.' - A New Earth, Eckhart Tolle, (Oprah's Book Club) 2Health News:U.S. Patent Office Allows Significant New VNUS Patent 2Health News:U.S. Patent Office Allows Significant New VNUS Patent 3Health News:VisEn Medical Raises $5.0 Million in Expanded Series B Financing 2Health News:VisEn Medical Raises $5.0 Million in Expanded Series B Financing 3Health News:Study finds patients overestimate cancer screening history 2
(Date:1/15/2014)... , Jan. 15, 2014  Research and Markets ... the "Dental Consumables Market - Global Industry ... - 2018" report to their offering. ... ) Dental consumables are products which are ... impairments, for tooth restoration and in treatment of ...
(Date:1/15/2014)... , Jan. 15, 2014  Novation, the leading ... company, awarded several new IT value-added reseller (VAR) ... hospital organizations with IT goods and services at ... agreements, as well as value-added services such as ... New Novation agreements were awarded to ...
(Date:1/15/2014)... DUBLIN , January 15, 2014 ... that it has waived the Office of Fair Trading (OFT) ... the outstanding shares of ViroPharma Incorporated (NASDAQ: VPHM).   ... no longer conditional on OFT approval, and Shire expects to ... currently scheduled expiration time, subject to the satisfaction of all ...
Breaking Medicine Technology:Dental Consumables Market - Global Industry Analysis, Size, Share, Growth, Trends And Forecast, 2013 - 2018 2Dental Consumables Market - Global Industry Analysis, Size, Share, Growth, Trends And Forecast, 2013 - 2018 3New Novation Information Technology VAR Contracts Offer Significant Savings to Hospitals 2Shire Waives OFT Condition Relating to the Acquisition of ViroPharma Inc. 2Shire Waives OFT Condition Relating to the Acquisition of ViroPharma Inc. 3
... Pharmaceuticals, Inc. (Nasdaq: JAZZ ) today announced that it will report its ... Pharmaceuticals will host an investor conference call and live webcast to give a ... May 5, 2010 , at 5:00 p.m. Eastern Time / 2:00 p.m. ... The live webcast ...
... CHAPEL HILL, N.C. , April 28 The biopharma mega-mergers ... and Merck + Schering-Plough - are now in the critical post-integration period ... executed their integration plans. It,s too early for final verdicts, but clearly ... the integration of corporate cultures. , ...
Cached Medicine Technology:Jazz Pharmaceuticals to Announce First Quarter 2010 Financial Results on May 5, 2010 2Bio-Pharma Industry Experts Deliver M&A Value Through Integration Excellence 2Bio-Pharma Industry Experts Deliver M&A Value Through Integration Excellence 3
... national reference laboratory and a worldwide leader ... offers an extensive test menu of highly ... and anatomic pathology. Owned by the University ... than half of the nation's university teaching ...
... reference laboratory and a worldwide leader in ... an extensive test menu of highly complex ... anatomic pathology. Owned by the University of ... half of the nation's university teaching hospitals ...
... a national reference laboratory and a worldwide ... ARUP offers an extensive test menu of ... clinical and anatomic pathology. Owned by the ... more than half of the nation's university ...
... Laboratories is a national reference laboratory and ... and development. ARUP offers an extensive test ... tests in clinical and anatomic pathology. Owned ... clients include more than half of the ...
Medicine Products: