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Vascular and Endovascular Surgery
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Primary Aortoduodenal Fistula Masquerading as a Duodenal Tumor—Case Report

Wan Yee Lau

Department of Surgery, the Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong

Arthur Kwok Cheung Li

Department of Surgery, the Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong, Department of Surgery The Chinese University of Hong Kong Prince of Wales Hospital Shatin, N. T. Hong Kong

A sixty-eight-year-old man presented with two episodes of gastrointestinal bleeding in one week. Upper gastrointestinal barium study revealed a tumor in the third part of the duodenum. At operation, the "tumor" was found to be a laminated thrombus that protruded into the duodenal lumen from a primary aortoduodenal fistula. Duodenal repair and aneurysmectomy with Dacron graft replacement were done. The patient was well on follow-up four years after surgery.

Vascular and Endovascular Surgery, Vol. 25, No. 2, 126-130 (1991)
DOI: 10.1177/153857449102500206
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