Brucella aortitis with aortoduodenal fistula - case report

Amel Avdić, Ermina Mujičić, Amel Hadžimehmedagić, Alen Ahmetašević, Selveta Begović, Slavenka Štraus, Nermir Granov


Aim: The aim of this rare case report is to present primary aortoduodenal fistula (PADF) as result of the brucella aortitis.
Methods: The patient was admitted with signs of gastrointestinal bleeding and during surgery the aortoduodenal fistula has been identified. The postoperative recovery was normal and at the seventh post-operative day a fully recovered patient was transferred to regional hospital for further brucellosis evaluation and treatment.
Conclusion: The primary aortoduodenal fistula is a rare complication of abdominal aortic aneurysm (AAA) and a rare cause of gastrointestinal bleeding and maybe overlooked. Therefore, detailed anamneses, physical examination, early recognition of AAA rupture with CT angiography and emergency surgery are an algorithm for successfully resolving this life-threatening disease.
Keywords: Abdominal aortic aneurysm, Aortoduodenal fistula, Brucella aortitis

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