Table 3 Endoscopic/CT findings and treatment in each ADF patient
Case | Endoscopic findings | Marking clip | CT Findings | Fistula site (part of duodenum) | Treatment | Outcome |
|---|---|---|---|---|---|---|
1 | Pulsatile granule-like protuberance of the duodenum | + | The aorta and duodenum were adjacent Ectopic air in the aorta | 3rd | Vascular prosthesis replacement Omental patch closure Duodenal repair | Survived |
2 | Stent exposed into the duodenum | − | – | 2nd | Vascular prosthesis replacement Jejunal patch | Survived |
3 | Massive fresh blood of unknown origin in the duodenum | − | The aorta and duodenum were adjacent Ectopic air in the aorta | 3rd | Emergency EVAR | Survived |
4 | Massive fresh blood of unknown origin in the duodenum | − | (postmortem imaging) The aorta and duodenum were adjacent A saccular aneurysm of the aorta adjacent to the duodenum | 3rd | None | Expired |
5 | Pulsatile lesion with blood clots in the duodenum | + | The aorta and duodenum were adjacent Extravascular leakage from the aorta to the duodenum | 3rd | Emergency EVAR | Survived |
6 | Pulsatile lesion eroding into the duodenum | + | The aorta and duodenum were adjacent A saccular aneurysm of the aorta adjacent to the duodenum | 3rd | Emergency EVAR | Survived |
7 | Pulsatile granule-like protuberance of the duodenum | + | The aorta and duodenum were adjacent Ectopic air in the aorta | 3rd | Bilateral axillo-femoral bypass surgery Laparoscopic removal of vascular prosthesis | Survived |
8 | Massive fresh blood of unknown origin in the duodenum | − | The aorta and duodenum were adjacent | 3rd | Emergency EVAR | Survived |