Lee J T, Saroyan R M, Belzberg G, Pianim N A, Bongard F S
Department of Surgery, Division of Vascular Surgery, Harbor-UCLA Medical Center, 1000 West Carson Street, Torrance, CA 90509, USA.
Ann Vasc Surg. 2001 Mar;15(2):251-4. doi: 10.1007/s100160010061. Epub 2001 Mar 1.
A primary aortoenteric fistula is a potentially devastating complication of untreated aortic aneurysmal disease. The clinical presentation can be confusing, leading to a delay in diagnosis. Computed tomography (CT) can greatly assist in establishing the diagnosis. An unusual case of a primary aortoenteric fistula with an atypical presentation is described. The patient presented with symptoms indicating an exacerbation of recurrent nephrolithiasis. No clinical history of an abdominal aortic aneurysm or previous history of gastrointestinal hemorrhage was reported. A CT scan demonstrated extravasation of arterial contrast into the duodenum. The aorta was repaired with an in-line prosthetic graft. A review of the literature regarding this rare entity and surgical options are presented.
原发性主动脉肠瘘是未治疗的主动脉瘤疾病潜在的灾难性并发症。其临床表现可能令人困惑，导致诊断延迟。计算机断层扫描（CT）对确诊有很大帮助。本文描述了一例表现不典型的原发性主动脉肠瘘罕见病例。该患者表现出提示复发性肾结石加重的症状。未报告有腹主动脉瘤的临床病史或既往胃肠道出血史。CT扫描显示动脉造影剂渗入十二指肠。采用直列式人工血管修复主动脉。本文还对关于这一罕见病症及手术选择的文献进行了综述。
