Primary aortoduodenal fistula (PADF)

Authors: J. Moláček 1;  V. Třeška 1;  J. Baxa 2;  J. Ferda 2;  J. Křižan 1;  K. Houdek 1
Authors‘ workplace: Chirurgická klinika LF UK a FN v Plzni, přednosta: prof. MUDr. V. Třeška, DrSc. 1;  Klinika zobrazovacích metod LF UK a FN v Plzni, přednosta: Doc. MUDr. B. Kreuzberg 2
Published in: Rozhl. Chir., 2013, roč. 92, č. 1, s. 27-30.
Category: Case Report


Primary aortoduodenal fistula is very rare acute abdomen with high mortality. Serious problem is often late diagnosis. Authors present case report from their University Hospital. Diagnosis and therapy options are discussed.

Key words:
primary aortoduodenal fistula – late diagnosis


1. Champion MC, Sullivan SN, Coles JC, Goldbach M, Watson WC. Aortoenteric fistula. Incidence, presentation recognition, and management. Ann Surg 1982;195:314–317.

2. Kane JM, Meyer KA, Kozoll DD. An anatomical approach to the problem of massive gastrointestinal hemorrhage. AMA Arch Surg 1955;70:570–582.

3. Hirst AE Jr, Affeldt J. Abdominal aortic aneurysm with rupture into the duodenum; a report of eight cases. Gastroenterology 1951;17:504–514.

4. Rutherford, Vascular Surgery, 6 th edition

5. Cooper A. Lectures on Principles and Practice of Surgery with Additional Notes and cases By F. Tyrrell, ed 5. Philadelphia, Haswell, Barrington & Haswell 1839.

6. Puccio F, Pandolfo G, Chiodini S, Benzi F, Solazzo M. Primary aortoduodenal fistula as a late complication of radiotherapy: report of a case and review of the literature, Case Rep Gastroenterol 2008;2(3):415–23. Epub 2008 Nov 14.

7. Baser M, Arslantürk H, Kisli E, Arslan M, Oztürk T, Uygan I, Kotan C. Primary aortoduodenal fistula due to a swallowed sewing needle: a rare cause of gastrointestinal bleeding, Ulus Travma Acil Cerrahi Derg 2007;13(2):154–157.

8. K. Kilk, A. Hyhlik-Dürr, A. Afshar-Oromieh, D. Böckler, Chronic abdominal aortic graft infection, Detection with 18F-FDG-PET/CT, Chirurg 2010;81(7):653–6.

9. Chang MW, Chan YL, Hsieh HC, Chang SS. Secondary aortoduodenal fistula, Chang Gung Med J 2002;25(9):626–30.

10. Staffa R, Kriz Z, Vlachovsky R, Dvorak M, Novotny T, Bucek J, Sarnik S, Vojtisek B. Autogenous superficial femoral vein for replacement of an infected aorto-ilio-femoral prosthetic graft]. Rozhl Chir 2010;89(1):39–44.

Surgery Orthopaedics Trauma surgery
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account