Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	116433
Country	Greece

Category	Surgery
Manuscript Type	Case Report
Article Title	Aortoduodenal fistula: A case report and review of literature
Manuscript Source	Unsolicited Manuscript
All Author List	Nikolaos S Georgopoulos, Andreas Lazaris, George Geroulakos, Nikolaos Arkadopoulos and Ioannis Hatzaras
Funding Agency and Grant Number
Corresponding Author	Nikolaos S Georgopoulos, MD, 4th Department of Surgery, Attikon University Hospital, School of Medicine, National and Kapodistrian University of Athens, 1 Rimini Str, Athens 12462, Attikí, Greece. nickgeorg97@gmail.com
Key Words	Aortoenteric fistula; Aortoduodenal fistula; Secondary; Endovascular; Duodenal repair; Case report
Core Tip	Aortoduodenal fistula is a rare but life-threatening cause of gastrointestinal bleeding requiring urgent surgical intervention. Management requires definitive aortic repair combined with tailored duodenal reconstruction. Small, viable defects are typically treated with primary repair and omental coverage, whereas larger or complex injuries may necessitate jejunal serosal patching, vascularized flaps, or Roux-en-Y duodenojejunostomy. Pyloric exclusion is reserved for selected cases. An individualized approach based on defect size and tissue viability is essential. We report a 79-year-old man with prior open abdominal aortic aneurysm repair who developed an aortoduodenal fistula and was successfully treated with bovine graft reconstruction and Roux-en-Y duodenojejunostomy.
Citation	Georgopoulos NS, Lazaris A, Geroulakos G, Arkadopoulos N, Hatzaras I. Aortoduodenal fistula: A case report and review of literature. World J Gastrointest Surg 2026; In press

Received	2025-11-12 06:53
Peer-Review Started	2025-11-12 06:53
First Decision by Editorial Office Director	2025-12-02 07:24
Return for Revision	2025-12-02 07:24
Revised	2025-12-19 04:51
Publication Fee Transferred	2026-01-11 21:13
Second Decision by Editor	2026-03-24 02:51
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-03-24 06:07
Articles in Press	2026-03-24 06:07
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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