Presenter Information
Brielle Marie Corrente Physician Assistant Student
Abstract
Usually not diagnosed until open laparotomy, aortoduodenalfistulas (ADF) are one of the rarest complications of intestinal transplant surgery. With an incidence rate of only 0.04% at autopsy and only 250 documented cases since the early 1800’s, aortoduodenal fistulas are the most deadly complications of intestinal transplantation with a mortality rate of 100% without surgical intervention. A 39 year old, two-time multi-visceral transplant African American female patient suffered from a primary aortoduodenal fistula formation in a primary modified multi-visceral transplant aortic stump graft site. With emergency open laparotomy repair, revascularization of the secondary multi-visceral transplant was performed, saving the life of the patient and preserving the current multi-visceral transplant. Due to the rising number of intestinal transplants and multi-visceral transplants performed, clinicians should always have high suspicion of aortoduodenal fistulas in any transplant patient that presents with acute abdominal pain and lower gastrointestinal bleeding. With quick diagnosis, survival rate of aortoduodenal fistulas in multi-visceral transplant patientsmay improve.
School
Rangos School of Health Sciences
Advisor
Brenda Swanson-Biearman
Submission Type
Paper
Publication Date
March 2019
Included in
Cardiology Commons, Cardiovascular System Commons, Congenital, Hereditary, and Neonatal Diseases and Abnormalities Commons, Diagnosis Commons, Digestive System Commons, Digestive System Diseases Commons, Gastroenterology Commons, Hepatology Commons, Internal Medicine Commons, Investigative Techniques Commons, Medical Anatomy Commons, Medical Nutrition Commons, Medical Physiology Commons, Other Medical Sciences Commons, Other Medical Specialties Commons, Surgery Commons, Surgical Procedures, Operative Commons, Tissues Commons
Aortoduodenal Fistula Forms From Primary Aortic Stump Graft in a Two-Time Multi-Visceral Transplant Patient with Presentation of Gastrointestinal Bleed and Bowel Perforation: A Case Report
Usually not diagnosed until open laparotomy, aortoduodenalfistulas (ADF) are one of the rarest complications of intestinal transplant surgery. With an incidence rate of only 0.04% at autopsy and only 250 documented cases since the early 1800’s, aortoduodenal fistulas are the most deadly complications of intestinal transplantation with a mortality rate of 100% without surgical intervention. A 39 year old, two-time multi-visceral transplant African American female patient suffered from a primary aortoduodenal fistula formation in a primary modified multi-visceral transplant aortic stump graft site. With emergency open laparotomy repair, revascularization of the secondary multi-visceral transplant was performed, saving the life of the patient and preserving the current multi-visceral transplant. Due to the rising number of intestinal transplants and multi-visceral transplants performed, clinicians should always have high suspicion of aortoduodenal fistulas in any transplant patient that presents with acute abdominal pain and lower gastrointestinal bleeding. With quick diagnosis, survival rate of aortoduodenal fistulas in multi-visceral transplant patientsmay improve.