Abdominal aortic aneurysm and its association with duodenal obstruction: aortoduodenal syndrome

Author:

Parashar Kalind1,Gandhi Darshan12ORCID,Nepal Pankaj1,Sapire Joshua1,Ahuja Kriti3,Siddiqui Imran4

Affiliation:

1. Department of Radiology, St. Vincent's Medical Center at Hartford Healthcare 2800 Main Street, Bridgeport, CT 06606, USA

2. Department of Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 N St. Clair St, Suite 800, Chicago, IL 60611, United States

3. Maulana Azad Medical College, New Delhi, Delhi 110002, India

4. Department of General Surgery and Surgical oncology, St. Vincent's Medical Center at Hartford Healthcare 2800 Main Street, Bridgeport, CT 06606, USA

Abstract

Proximal small bowel obstruction in the region of the duodenum is an uncommon clinical entity. Our case, which involves obstruction of the third portion of the duodenum due to an abdominal aortic aneurysm (AAA), is even more unusual. A review of the relevant literature regarding duodenal obstruction due to extrinsic compression includes features that differentiate aortoduodenal syndrome from superior mesenteric artery syndrome. Management of these conditions range from conservative to surgical, of which now includes a more recent role of metallic stents in some instances.

Publisher

British Institute of Radiology

Subject

Pharmacology (medical),Complementary and alternative medicine,Pharmaceutical Science

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