EURORAD ESR

Case 15234

A rare case of an aortoduodenal fistula

Author(s)
Klemen Mihelčič1, Daniel Ramos-Andrade2, Filipe Caseiro-Alves2

1- University of Ljubljana Medical Faculty, Slovenia

2- Coimbra University Hospital, Portugal; Email:daramosandrade@gmail.com
 
Patient
male, 56 year(s)
 
 
  • Figure 1
    Unenhanced CT

    Unenhanced CT - A distended stomach filled with fresh blood and blood clots

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 2
    Unenhanced CT

    Unenhanced CT - An aorto-bi-femoral stent (white arrow) is seen inside the infra-renal aorta, with exclusion of atherosclerotic plaque (red arrow), in close proximity to the third part of the duodenum (green star).

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 3
    Arterial phase CT (MIP)

    Arterial phase CT (MIP) - Aortoduodenal fistula with blood leaking into the 3rd portion of duodenum in the topography of the proximal end of the aortic stent

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 4
    Arterial phase CT (sagittal)

    Arterial phase CT (sagittal) - Aortoduodenal fistula with blood leaking into the 3rd portion of the duodenum in the topography of the proximal end of the aortic stent.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 5
    Portal phase CT

    Portal phase CT – Increased pooling of blood in the duodenum and jejunum

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
Unenhanced CT - A distended stomach filled with fresh blood and blood clots
 
Unenhanced CT - An aorto-bi-femoral stent (white arrow) is seen inside the infra-renal aorta, with exclusion of atherosclerotic plaque (red arrow), in close proximity to the third part of the duodenum (green star).
 
Arterial phase CT (MIP) - Aortoduodenal fistula with blood leaking into the 3rd portion of duodenum in the topography of the proximal end of the aortic stent
 
Arterial phase CT (sagittal) - Aortoduodenal fistula with blood leaking into the 3rd portion of the duodenum in the topography of the proximal end of the aortic stent.
 
Portal phase CT – Increased pooling of blood in the duodenum and jejunum
 
 
 
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