case_images: PMC2822317_01
case_images: Preoperative contrast-enhanced axial computed tomography demonstrates a 9.5-cm wide abdominal aortic aneurysm (A) tightly attached to the duodenum (D).
case_images: jkms-19-302-g001.jpg
case_images: PMC2822317_01_jkms-19-302-g001.jpg
case_images: F1
case_images: Upper gastrointestinal endoscopy and computed tomography were performed at an outside facility, which showed a huge pulsating submucosal mass-like lesion with mucosal hemorrhage on the third duodenal portion and an infrarenal aortic aneurysm suspicious of duodenal erosion (Fig. 1).
case_images: The gross pathology of the resected aortoduodenal specimen shows ruptured abdominal aortic aneurysm (A) with a thrombus encroaching the duodenal wall (D). Note the absence of a muscle layer and serosa in the duodenal wall.
case_images: jkms-19-302-g002.jpg
case_images: PMC2822317_01_jkms-19-302-g002.jpg
case_images: F2
case_images: The fistula-bearing area of the aneurysm was resected en bloc with the attached duodenum (Fig. 2).