Wood Alice, Bendjelid Si-Mhamed, Bendjelid Karim
*Division of Surgical Intensive Care, Department APSIC, University Hospitals of Geneva, Switzerland; †Department of Radiology, Hospital of Moulins, France.
Anesth Analg. 2005 Oct;101(4):1157-1159. doi: 10.1213/01.ANE.0000175769.11560.FE.
We present the case of a 66-yr-old woman who was admitted to a surgical intensive care unit with life-threatening rectal bleeding. Despite the use of angiography and repeated computed tomography scans, the diagnosis of a primary aortoduodenal fistula secondary to an abdominal aortic aneurysm was not made, leading to a delay in diagnosis until the time of surgery. The reliability of radiological investigations and the importance of being alert to the possibility of this extremely rare condition are discussed.
We describe the delayed diagnosis of an aortoduodenal fistula related to an abdominal aortic aneurysm. We emphasize that computed tomography scan results may be unreliable for detecting this pathology in patients who are hemodynamically unstable.
我们报告了一例66岁女性患者，她因危及生命的直肠出血入住外科重症监护病房。尽管进行了血管造影和多次计算机断层扫描，但仍未诊断出腹主动脉瘤继发的原发性主动脉十二指肠瘘，导致诊断延迟至手术时。本文讨论了影像学检查的可靠性以及警惕这种极其罕见疾病的可能性的重要性。
我们描述了一例与腹主动脉瘤相关的主动脉十二指肠瘘的延迟诊断。我们强调，对于血流动力学不稳定的患者，计算机断层扫描结果在检测这种病变时可能不可靠。
