Young patient with aortoduodenal fistula post-tumour resection and aortic graft reconstruction in childhood: a case report

Torres I.O.; Medrano J.S.L.; Pugliero S.; Costa G.S.R.; Da Silva E.S.; De Luccia N. · Journal of Surgical Case Reports (2026) · DOI: 10.1093/jscr/rjaf1091

Resumen

Aortic graft infection is a rare but threatening condition. Early recognition is important but might be challenging. A 25-year-old woman presented with Osler nodes, malaise, fever and multifocal osteomyelitis. Her medical history included a ganglioneuroma resection during her childhood, with aortic reconstruction. A positron emission tomography-computed tomography scan revealed an aortic graft infection. After 2 years of conservative treatment, the patient developed an aorto-enteric fistula, undergoing surgical intervention: graft removal and axillary-femoral bypass. At 20 months follow-up, she remains free of bacteremia. Therefore, graft infection should be considered even many years post aortic reconstruction. Individualized treatment can promote favourable outcomes. © The Author(s) 2026. Published by Oxford University Press and JSCR Publishing Ltd.

Instituciones: Universidad Nacional José Faustino Sánchez Carrión