Knosalla C, Bauer M, Weng Y g, Weidemann H, Hetzer R
Deutsches Herzzentrum Berlin and Abteilung für Allgemein-und Transplantationschirurgie, Universitätsklinkum Charité-Campus Virchow, Humboldt Universität zu Berlin, Berlin, Germany.
J Vasc Surg. 2000 Nov;32(5):1034-7. doi: 10.1067/mva.2000.107771.
Mycotic aortic aneurysm, which resulted from infected pancreatic pseudocysts with retroperitoneal abscess, developed in a patient with chronic pancreatitis. The aorta was approached through median laparotomy. Necrotic material was debrided from the pancreatic pseudocysts, and the mycotic aneurysm was resected. The aorta was replaced in situ with a cryopreserved aortic allograft. This report discusses the rare complication of pancreatic pseudocysts, which affect the infrarenal abdominal aorta and cause a large mycotic aneurysm. This case suggests that the use of cryopreserved allografts is promising for in situ reconstruction, even in a grossly infected field.
一名慢性胰腺炎患者发生了霉菌性主动脉瘤，其由感染性胰腺假性囊肿合并腹膜后脓肿引起。通过正中剖腹术暴露主动脉。从胰腺假性囊肿清除坏死物质，并切除霉菌性动脉瘤。用冷冻保存的主动脉同种异体移植物原位替换主动脉。本报告讨论了胰腺假性囊肿的罕见并发症，该并发症累及肾下腹主动脉并导致巨大霉菌性动脉瘤。该病例表明，即使在严重感染的区域，使用冷冻保存的同种异体移植物进行原位重建也很有前景。
