J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1548KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 92(6): 750-752, 1991

Case report

CASE OF PRIMARY AORTOJEJUNAL FISTULA CAUSED BY GRAM-POSOTIVE COCCI

Second Division, Department of Surgery, Osaka City Medical School, Osaka, Japan
Jotochuo Hospital, Osaka, Japan

Yasuhiko Tsukamoto, Sumito Igawa, Hiromu Tanaka, Masahide Kaji, Ryutaro Iwasa, Hiroaki Kinoshita

A 46-year-old man was transferred to our department with a pulsating abdominal mass and back pain. On arrival he suddenly developed hematemesis. CT suggested the presence of an infrarenal aortic aneurysm and the jejunum was filled with contrast medium. An emergency operation was done. We found an aortojejunal fistula at the branching point of the renal artery. We directly sutured the aortic wall laceration and the jejunum wall in two layers. Then we resected infrarenal pseudoaneurysm as completely as possible, with replacement by a Dacron Y-shaped prosthesis. Culture of the aortic wall showed gram-positive cocci, but the species could not be identified. Gram stain of the aortic wall also showed infection by gram-positive cocci. The patient is alive and well 3 months after surgery.

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