RESUMEN
Secondary aortoduodenal fistula is an uncommon but potentially fatal complication that can occur after aortic reconstruction surgery and usually presents with upper gastrointestinal hemorrhage. Taking into account the accompanying multiple comorbidities of those patients, conventional open surgical repair carries with it significant mortality and morbidity rates. The purpose of this case report is to describe the successful combined endovascular and open surgical repair of an acutely ruptured aortoduodenal fistula in a 67-year-old male patient. Four months after the procedure, the patient remains well.
Asunto(s)
Enfermedades de la Aorta/cirugía , Enfermedades Duodenales/cirugía , Hemorragia Gastrointestinal/cirugía , Fístula Intestinal/cirugía , Fístula Vascular/cirugía , Enfermedad Aguda , Anciano , Aneurisma de la Aorta Abdominal/cirugía , Enfermedades de la Aorta/complicaciones , Enfermedades Duodenales/complicaciones , Hemorragia Gastrointestinal/etiología , Humanos , Fístula Intestinal/complicaciones , Masculino , Fístula Vascular/complicacionesRESUMEN
Mucormycosis is an opportunistic fungal infection caused by Mucorales. The disease is uncommon and produces serious and rapidly fatal infection in diabetic or immunocompromised patients. The classical presentation of rhinocerebral mucormycosis is involvement of nasal mucosa with invasion of paranasal sinuses and orbit. Early diagnosis is based on (direct) histological examination and computed tomography scan. Unfortunately the clinical signs and symptoms do not occur in all cases. A high index of suspicion is needed not only in typical groups of immunocompromised patients or diabetics, but also in patients with serious chronic diseases. We report a patient who was not diabetic, but she had a history of cirrhosis and well compensated renal failure.