Rieger A
Acta Chir Scand. 1975;141(2):160-2.
Spontaneous aortoduodenal fistula is a rare disease. The characteristic clinical picture is a pulsating tumour in the upper abdomen, repeated moderate haemorrhages often combined with severe epigastralgia. The patient very seldom succumbs because of a large first haemorrhage, and there is often time for roentgenologic examinations. The present paper described a case where the diagnosis could not be established until autopsy in spite of angiographic investigation because of clinical suspicion. The only way to treat a patient with any hope of curing him is to perform a grafting of the aorta and suture of the duodenum.
自发性主动脉十二指肠瘘是一种罕见疾病。其典型临床表现为上腹部搏动性肿块，常反复出现中度出血并伴有严重上腹痛。患者很少因首次大出血而死亡，通常有时间进行X线检查。本文描述了一例尽管因临床怀疑进行了血管造影检查，但直到尸检才确诊的病例。治疗患者并有望治愈的唯一方法是进行主动脉移植和十二指肠缝合。
