首页|An aortoduodenal fistula as a complication of immunoglobulin G4-related disease

An aortoduodenal fistula as a complication of immunoglobulin G4-related disease

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Most primary aortoduodenal fistulas occur in the presence of an aortic aneurysm,which can be part of immunoglobulin G4 (IgG4)-related sclerosing disease.We present a case who underwent endovascular grafting of an aortoduodenal fistula associated with a high serum IgG4 level.A 56-year-old male underwent urgent endovascular reconstruction of an aortoduodenal fistula.The patient received antibiotics and other supportive therapy,and the postoperative course was uneventful,however,elevated levels of serum IgG,IgG4 and C-reactive protein were noted,which normalized alter the introduction of steroid therapy.Control computed tomography angiography showed no endoleaks.The primary aortoduodenal fistula may have been associated with IgG4-related sclerosing disease as a possible complication of IgG4-related inflammatory aortic aneurysm.Endovascular grafting of a primary aortoduodenal fistula is an effective and minimally invasive alternative to standard surgical repair.

Abdominal aortic aneurysmAortoduodenal fistulaEndovascular repairImmunoglobulin G4-related disease

Momir Sarac、Ivan Marjanovic、Mihailo Bezmarevic、Uros Zoranovic、Stanko Petrovic、Miodrag Mihajlovic

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Clinic for Vascular and Endovascular Surgery, Military Medical Academy, 11000 Belgrade, Serbia

Clinic for General Surgery, Military Medical Academy, 11000 Belgrade, Serbia

Clinic for Gastroenterology, Military Medical Academy, 11000 Belgrade, Serbia

Institute of Radiology, Military Medical Academy, 11000 Belgrade, Serbia

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2012

10.3748/wjg.v18.i42.6164

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子：1.001
ISSN：1007-9327
年,卷(期)：2012.18(42)
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