Aortoduodenal fistula and aortic aneurysm secondary to biliary stent-induced retroperitoneal perforation

doi:10.3748/wjg.14.3095

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May 21, 2008 (publication date) through Nov 5, 2024

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. May 21, 2008; 14(19): 3095-3097
Published online May 21, 2008. doi: 10.3748/wjg.14.3095

Aortoduodenal fistula and aortic aneurysm secondary to biliary stent-induced retroperitoneal perforation

Tae Hoon Lee, Do Hyun Park, Ji-Young Park, Suck-Ho Lee, Il-Kwun Chung, Hong Soo Kim, Sang-Heum Park, Sun-Joo Kim

Tae Hoon Lee, Ji-Young Park, Suck-Ho Lee, Il-Kwun Chung, Hong Soo Kim, Sang-Heum Park, Sun-Joo Kim, Division of Gastroenterology, Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan Hospital, 23-20 Bongmyung-dong, Cheonan, Choongnam 330-721, South Korea

Do Hyun Park, Division of Gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, 388-1 Pungnap-2dong, Songpagu, Seoul 138-736, South Korea

Author contributions: Lee TH and Park DH contributed equally to this work; Park JY, Lee SH, Chung IK and Kim HS provided the clinical advice; Park DH, Park SH and Kim SJ designed the case report; Lee TH and Park DH wrote the paper.

Correspondence to: Do Hyun Park, Division of Gastro-enterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, 388-1 Pungnap-2dong, Songpagu, Seoul 138-736, South Korea. dhpark@amc.seoul.kr

Telephone: +82-2-30103180

Fax: +82-2-4855782

Received: February 14, 2008
Revised: April 8, 2008
Published online: May 21, 2008

Abstract

Duodenal perforations caused by biliary prostheses are not uncommon, and they are potentially life threatening and require immediate treatment. We describe an unusual case of aortic aneurysm and rupture which occurred after retroperitoneal aortoduodenal fistula formation as a rare complication caused by biliary metallic stent-related duodenal perforation. To our knowledge, this is the first report describing a lethal complication of a bleeding, aortoduodenal fistula and caused by biliary metallic stent-induced perforation.

Keywords: Stents; Retroperitoneal perforation; Aortic aneurysm; Fistula