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Primary aortoduodenal fistula in testicular cancer: A fatal complication associated with retroperitoneal lymph node metastasis

Authors :
Hiromichi Sakurai
Koji Kawai
Mizuki Onozawa
Masaaki Akahane
Reo Takizawa
Jun Miyazaki
Source :
Urology Case Reports, Vol 39, Iss , Pp 101746- (2021)
Publication Year :
2021
Publisher :
Elsevier, 2021.

Abstract

A primary aortoduodenal fistula (PADF) has rarely been reported as a complication of testicular cancer. A 48-year-old Japanese male with relapsed retroperitoneal lymph node metastases received four courses of paclitaxel, ifosfamide, and cisplatin (TIP). On day 19 of the fourth cycle of TIP, he developed hematochezia and hypovolemic shock. Angiography confirmed the presence of a PADF, and we then deployed an endovascular stent graft in the aorta. Although the bleeding improved, the patient died of re-bleeding that developed 18 days later. It is important to recognize this severe complication in order to achieve its early diagnosis and optimal surgical intervention.

Details

Language :
English
ISSN :
22144420
Volume :
39
Issue :
101746-
Database :
Directory of Open Access Journals
Journal :
Urology Case Reports
Publication Type :
Academic Journal
Accession number :
edsdoj.f89a3170e9747eb95804268902dd9e6
Document Type :
article
Full Text :
https://doi.org/10.1016/j.eucr.2021.101746