Lauwers P, De Greef K, Van den Brande F, Hendriks J, De Maeseneer M, Van Schil P
University Hospital of Antwerp, Department of Thoracic and Vascular Surgery, Edegem, Belgium.
Acta Chir Belg. 2004 Aug;104(4):454-6.
Fifteen years after aortobifemoral bypass and five years after left femoropopliteal bypass, a 73-year old man presented with a vague abdominal pain syndrome. After an extensive work-up, aortobifemoral graft infection was suspected; an appendiceal abscess infiltrating the prosthesis was discovered during exploratory laparotomy. Appendectomy was performed followed by removal of the vascular graft, the latter being replaced by a bilateral axillofemoral prosthesis. Aortic graft infection from appendicitis is an extremely rare condition; a review of similar cases is presented.
在进行主动脉双股动脉搭桥术后15年以及左股腘动脉搭桥术后5年,一名73岁男性出现了不明原因的腹痛综合征。经过全面检查,怀疑是主动脉双股动脉移植物感染;在剖腹探查术中发现一个阑尾脓肿浸润了假体。进行了阑尾切除,随后移除了血管移植物,并用双侧腋股假体进行了替换。阑尾炎导致的主动脉移植物感染是一种极其罕见的情况;本文对类似病例进行了综述。