Duodenal obstruction after abdominal aortic aneurysm repair.

Duodenal obstruction is a rare post-operative complication of abdominal aortic aneurysm repair. Out of only four previously reported cases, two were post-mortem findings and the other two were managed surgically by gastro-jejunostomy and duodeno-jejunostomy, respectively. We present here two further cases of duodenal obstruction after aneurysm repair, one due to intramural haematoma and the other due to the superior mesenteric artery syndrome. Both cases were managed conservatively with parenteral nutrition and an expectant policy, with a successful outcome in each case.