Work

Young patient with aortoduodenal fistula post-tumour resection and aortic graft reconstruction in childhood: a case report

Year: 2025

Type: article

Abstract: Aortic graft infection is a rare but threatening condition. Early recognition is important but might be challenging. A 25-year-old woman presented with Osler nodes, malaise, fever and multifocal osteomyelitis. Her medical history included a ganglioneuroma resection during her childhood, with aortic reconstruction. A positron emission tomography-computed tomography scan revealed an aortic graft infection. After 2 years of conservative treatment, the patient developed an aorto-enteric fistula, undergoing surgical intervention: graft removal and axillary-femoral bypass. At 20 months follow-up, she remains free of bacteremia. Therefore, graft infection should be considered even many years post aortic reconstruction. Individualized treatment can promote favourable outcomes.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf1091

Authors: Inez Ohashi Torres, Jesus Sebastian Luna Medrano, Samuel Pugliero, Gisela Serra Rodrigues Costa, Erasmo Simão da Silva, Nelson De Luccia

Institutions: Universidade de São Paulo, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Universidad Nacional José Faustino Sánchez Carrión

Language: English

Topic: Infectious Aortic and Vascular Conditions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000