Sultan Technique in Managing Secondary Aorto enteric fistula

We report a case of secondary aortoduodenal fistula found 6 years after aortic EVAR for 7 cm Inflammatory AAA, with the clinical presentation of upper gastrointestinal bleeding. On Immediate exploratory laparotomy, the Supra mesenteric part of the abdominal aorta was Endovascularly clamped by 36 Couda Balloon. Duodenorrhaphy and aortic Transfixing were done as patient had Streptococci viridians. The intervention was concluded with an omentoplasty to protect and cover the debrided Aortic sac. An Axillary b