[Isolated abdominal pain revealing a paraprosthetic fistula in a patient with Takayasu arteritis]

Rev Med Interne. 2011 Jan;32(1):e9-11. doi: 10.1016/j.revmed.2009.12.016. Epub 2010 Sep 29.
[Article in French]

Abstract

Aortic aneurysms and stenosis occurring in Takayasu arteritis may require aortic prosthesis that can be complicated by aorto-digestive fistula. We report a 41-year-old female who presented with an isolated abdominal pain revealing a para-prosthetic aorto-duodenal fistula complicating a Takayasu arteritis. The diagnosis of aorto-digestive fistula may be difficult if abdominal pain is isolated and imaging inconclusive. Surgical procedure may be necessary to obtain the diagnosis and constitutes the main part of the treatment before fatal outcome.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Abdominal Pain / etiology*
  • Adult
  • Aorta, Abdominal*
  • Aortic Aneurysm / complications*
  • Aortic Aneurysm / diagnosis
  • Aortic Aneurysm / surgery
  • Blood Vessel Prosthesis / adverse effects
  • Diagnosis, Differential
  • Duodenal Diseases / diagnosis
  • Duodenal Diseases / etiology*
  • Duodenal Diseases / surgery
  • Female
  • Humans
  • Intestinal Fistula / diagnosis
  • Intestinal Fistula / etiology*
  • Intestinal Fistula / surgery
  • Takayasu Arteritis / complications*
  • Takayasu Arteritis / diagnosis
  • Takayasu Arteritis / surgery
  • Treatment Outcome
  • Vascular Fistula / diagnosis
  • Vascular Fistula / etiology*
  • Vascular Fistula / surgery