Duodenal Obstruction after Endovascular Repair of a Ruptured Abdominal Aorta Aneurysm

Endovascular repair has become the most frequent approach in the management of the ruptured infra-renal abdominal aorta aneurysm. When managing the ruptured patient with a significant retroperitoneal hematoma, abdominal compartment syndrome is often a consideration. Duodenal obstruction from the hematoma is rare and not typically a consideration. In the case of our patient, the intra-abdominal pressures were successfully managed conservatively. The large retroperitoneal hematoma, however, encased and obstructed the duodenum ultimately requiring a gastrojejunostomy.

Source: Annals of Vascular Surgery - February 4, 2021 Category: Surgery Authors: Patricio Rosa, Sean D. O'Donnell, Joseph W. Melendez-Davidson Tags: Case Report Source Type: research