Primary aortoduodenal fistula of tuberculous origin
Simelière, T.; Chevalier, J.M.; Enon, B.; Lescalie, F.; Simard, C.; Lhoste, P.; Pillet, J.
Journal de Chirurgie 124(8-9): 464-466
1987
ISSN/ISBN: 0021-7697 PMID: 3693446 Document Number: 292078
This case of aorto-duodenal fistula was due to fistulization of a tuberculous lymph node between an atheromatous aneurysm of the infra-renal aorta and the third part of the duodenum. CAT scan provided the diagnosis of an aorto-duodenal fistula. The tuberculous origin of the fistula was confirmed by bacteriological and histological examinations. The outcome was favourable after revascularisation "in situ" combined with epiplooplasty and prolonged antituberculous drug therapy.